Remote Workers' Comp Claims Examiner

Sedgwick; Springfield (IL); Hybrid; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is hiring a Claims Examiner - Workers Compensation with jurisdiction in Southeast States. This remote/hybrid role requires analyzing complex WC claims, determining benefits due, and adhering to client service expectations.

Ideal candidates will have a HS diploma or GED, 5 years of claims management experience, and a Southeast States license. Sedgwick offers flexible schedules, comprehensive benefits, and career growth opportunities.

Qualifications

• High School Diploma or GED required; Bachelor’s degree preferred.
• 5 years of claims management experience or equivalent.
• Home state license required; Southeast States licensing knowledge.

Responsibilities

• Analyze workers compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimant and client.
• Report claims to excess carrier and respond to directions professionally.

Job description

Sedgwick is hiring a Claims Examiner - Workers Compensation with jurisdiction in Southeast States. This remote/hybrid role requires analyzing complex WC claims, determining benefits due, and adhering to client service expectations.

Ideal candidates will have a HS diploma or GED, 5 years of claims management experience, and a Southeast States license. Sedgwick offers flexible schedules, comprehensive benefits, and career growth opportunities.