Remote Workers' Comp Claims Examiner

Sedgwick; United States; Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career growth

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate workers’ compensation claims for our valued clients. You will determine benefits due and manage claims in line with service expectations and client requirements.

You will negotiate settlements within authority, communicate progress to claimants and clients, and collaborate with our national team to deliver accurate, timely resolutions.

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.
• Experience: 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 preferred; Professional certification as applicable to line of business preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate workers’ compensation claims for our valued clients. You will determine benefits due and manage claims in line with service expectations and client requirements.

You will negotiate settlements within authority, communicate progress to claimants and clients, and collaborate with our national team to deliver accurate, timely resolutions.