Remote Workers' Comp Claims Examiner | Flexible

Sedgwick; Sacramento (CA); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career growth

Full benefits package

Job summary

Sedgwick is hiring a Claims Examiner for Workers’ Compensation with remote work options. The role focuses on analyzing claims to determine benefits due while adhering to service expectations and industry best practices.

It offers flexible scheduling and opportunities for career growth within a global leader in risk and claims management. The ideal candidate will have 5 years of claims management experience, a Home state license for a Southeast jurisdiction, and a commitment to accurate, timely

Qualifications

• Education & Licensing: High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze workers compensation claims to determine benefits due, following client requirements.
• Adjudicate claims with well-developed action plans for timely resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier and respond to directions professionally.

Skills

Claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification where applicable

Tools

Home state license

Licensing in Southeast States

Job description

Sedgwick is hiring a Claims Examiner for Workers’ Compensation with remote work options. The role focuses on analyzing claims to determine benefits due while adhering to service expectations and industry best practices.

It offers flexible scheduling and opportunities for career growth within a global leader in risk and claims management. The ideal candidate will have 5 years of claims management experience, a Home state license for a Southeast jurisdiction, and a commitment to accurate, timely