Remote Workers' Comp Claims Examiner — Flexible & Growth

Sedgwick; Oregon; Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Paid time off

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze and adjudicate complex claims for clients in Oregon and Washington. The role offers a remote work option with hybrid flexibility and the chance to impact outcomes for major brands.

You will determine benefits due, negotiate settlements within authority, and keep clients informed while upholding service standards and best practices. A strong background in WC claims and OR licensing is preferred.

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.
• Licensing / Jurisdiction Knowledge: OR

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.

Skills

Claims management

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze and adjudicate complex claims for clients in Oregon and Washington. The role offers a remote work option with hybrid flexibility and the chance to impact outcomes for major brands.

You will determine benefits due, negotiate settlements within authority, and keep clients informed while upholding service standards and best practices. A strong background in WC claims and OR licensing is preferred.