Remote Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; United States; Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional 成长

Job summary

Sedgwick is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for a dedicated client across multiple jurisdictions. The role emphasizes adjudication of complex claims, client communication, and collaboration within a global, growth-oriented environment.

Ideal candidates have 5 years of claims management experience, heavy litigation exposure, and licensing (home state plus DE/LA/OK/TX). Flexible schedules and comprehensive benefits accompany this remote opportunity.

Qualifications

• Education & Licensing: 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

• Analyze and process claims through well-developed action plans to a timely resolution by investigating and gathering information to determine exposure.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Skills

Litigation experience

Claims management

Education

High School Diploma or GED

Bachelor's degree

Professional certification (line of business)

Job description

Sedgwick is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for a dedicated client across multiple jurisdictions. The role emphasizes adjudication of complex claims, client communication, and collaboration within a global, growth-oriented environment.

Ideal candidates have 5 years of claims management experience, heavy litigation exposure, and licensing (home state plus DE/LA/OK/TX). Flexible schedules and comprehensive benefits accompany this remote opportunity.