Remote Workers’ Comp Claims Examiner | Flexible Growth

Sedgwick; Augusta (ME); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick is actively seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for major clients. This role supports adjudication, timely resolutions, and settlements while ensuring compliance with state licensing requirements across MA, CT, NH, RI, and VT.

Remote-friendly opportunity offering a comprehensive benefits package and opportunities for professional growth within a global risk and claims organization.

Qualifications

• Education and licensing requirements include a HS diploma or GED; a Bachelor's degree is preferred and professional certification may be applicable.
• 5 years of claims management experience or an equivalent education/experience combination is required.
• Jurisdiction knowledge includes MA, CT, NH, RI, VT; VT, CT, NH, RI licenses.

Responsibilities

• Analyze Lost-Time Workers Compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlements within designated authority and communicate activity to claimants and clients.
• Report claims to excess carriers and respond to directions professionally and timely.

Education

High School Diploma or GED

Bachelor's degree

Professional certification as applicable to line of business

Job description

Sedgwick is actively seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for major clients. This role supports adjudication, timely resolutions, and settlements while ensuring compliance with state licensing requirements across MA, CT, NH, RI, and VT.

Remote-friendly opportunity offering a comprehensive benefits package and opportunities for professional growth within a global risk and claims organization.