Remote Workers' Comp Claims Examiner

Sedgwick; United States; On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Remote work

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze and adjudicate complex claims under CA or NV licensing. Join a global leader known for client service and career growth, with flexible work options and a broad benefits package.

The role focuses on analyzing claims, negotiating settlements within authority, communicating with claimants and clients, and coordinating with carriers to ensure timely resolutions while upholding service standards.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• 5 years of claims management experience or equivalent.

Responsibilities

• Analyze and adjudicate workers' compensation claims to determine exposure and benefits.
• Negotiate settlements within designated authority and communicate with claimants and clients.
• Prepare and report claims to carriers and respond to directions professionally.

Skills

5 years claims management experience

Education

High School Diploma or GED

Bachelor's degree

Tools

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze and adjudicate complex claims under CA or NV licensing. Join a global leader known for client service and career growth, with flexible work options and a broad benefits package.

The role focuses on analyzing claims, negotiating settlements within authority, communicating with claimants and clients, and coordinating with carriers to ensure timely resolutions while upholding service standards.