Remote Workers' Comp Claims Examiner

Sedgwick; Springfield (IL); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner Workers Compensation I for a US telecommuter role. The position focuses on analyzing claims to determine benefits due while adjudicating within service expectations and client requirements.

You will deliver innovative customer-facing solutions with Sedgwick’s global network, benefiting from flexible scheduling, agile work practices, and robust professional growth opportunities.

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Skills

Claims management

Negotiation

Client communication

Attention to detail

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner Workers Compensation I for a US telecommuter role. The position focuses on analyzing claims to determine benefits due while adjudicating within service expectations and client requirements.

You will deliver innovative customer-facing solutions with Sedgwick’s global network, benefiting from flexible scheduling, agile work practices, and robust professional growth opportunities.