Remote Workers' Comp Claims Examiner — Flexible Growth

Sedgwick; San Diego (CA); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career growth opportunities

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers Compensation to adjudicate complex customer claims, determine benefits, and ensure service expectations are met. The role offers flexible work arrangements and opportunities for career growth within a global leader in risk and claims administration.

The ideal candidate will bring solid WC claims experience, strong analytical skills, and a commitment to exceptional client service in a remote/hybrid setting.

Qualifications

• 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.
• 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.

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers Compensation to adjudicate complex customer claims, determine benefits, and ensure service expectations are met. The role offers flexible work arrangements and opportunities for career growth within a global leader in risk and claims administration.

The ideal candidate will bring solid WC claims experience, strong analytical skills, and a commitment to exceptional client service in a remote/hybrid setting.