Remote Workers' Comp Claims Examiner | Adjudication Expert

Sedgwick; Memphis (TN); Remoto; USD 70.000 - 75.000; Tempo pieno

Descrizione del lavoro

Sedgwick is seeking a dedicated Claims Examiner to analyze lost-time workers' compensation claims for diverse clients. You will adjudicate benefits due, apply industry best practices, and ensure timely resolution in line with client service requirements.

You’ll work within a global network of experts, negotiate settlements within authority, and contribute to innovative client solutions. Sedgwick offers flexible work, development opportunities, and a comprehensive benefits package.

Competenze

• Education: High School Diploma or GED required; Bachelor's degree preferred; professional certification as applicable.
• Experience: 5 years of claims management experience or equivalent combination required.
• Heavy litigation experience is required.
• Jurisdiction knowledge includes DE, IL, LA, MO, NJ, OK, TN, TX.
• Licensing: Home state plus DE, LA, OK, TX.

Mansioni

• Analyze and process Lost-Time Workers Compensation claims to determine exposure and benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and respond to directions professionally.

Conoscenze

Litigation experience

Claims management

Formazione

High School Diploma or GED

Bachelor’s degree

Professional certification

Descrizione del lavoro

Sedgwick is seeking a dedicated Claims Examiner to analyze lost-time workers' compensation claims for diverse clients. You will adjudicate benefits due, apply industry best practices, and ensure timely resolution in line with client service requirements.

You’ll work within a global network of experts, negotiate settlements within authority, and contribute to innovative client solutions. Sedgwick offers flexible work, development opportunities, and a comprehensive benefits package.