Remote Workers’ Comp Claims Examiner — Flexible Growth

Sedgwick; Cheyenne (WY); Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick in Alaska is seeking a Claims Examiner - Workers' Compensation to process low level claims, determine benefits, monitor reserves, and coordinate subrogation under general supervision. The role emphasizes empathy, accountability, and collaboration within a flexible, remote-friendly environment, with opportunities for career development and comprehensive benefits.

Jurisdiction AK licensing is required; prior claims experience not mandatory, and the position offers a stable, supportive

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• 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

• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintains professional client relationships.

Skills

5 years claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

Job description

Sedgwick in Alaska is seeking a Claims Examiner - Workers' Compensation to process low level claims, determine benefits, monitor reserves, and coordinate subrogation under general supervision. The role emphasizes empathy, accountability, and collaboration within a flexible, remote-friendly environment, with opportunities for career development and comprehensive benefits.

Jurisdiction AK licensing is required; prior claims experience not mandatory, and the position offers a stable, supportive