Remote Workers' Comp Claims Examiner

Sedgwick; Trenton (NJ); Remote; USD 63,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) on day one

Flexible work schedule

Referral incentive program

Career development opportunities

Job summary

Sedgwick is seeking a Claims Examiner Workers Compensation I for a fully remote role in the United States. The position involves adjudicating complex claims, negotiating settlements, and communicating with claimants and clients across industries, with a focus on excellent service and timely resolutions.

Ideal candidates bring 5 years of claims management experience or equivalent education, with a high school diploma and preferably a Bachelor's degree.

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.

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.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner Workers Compensation I for a fully remote role in the United States. The position involves adjudicating complex claims, negotiating settlements, and communicating with claimants and clients across industries, with a focus on excellent service and timely resolutions.

Ideal candidates bring 5 years of claims management experience or equivalent education, with a high school diploma and preferably a Bachelor's degree.