Remote Workers' Comp Claims Examiner | Flexible Growth

Sedgwick; Santa Fe (NM); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

PTO

Flexible work schedule

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims, determine benefits, and adjudicate claims for diverse clients. The role offers remote work options with flexibility, autonomy in daily tasks, and a path for career growth within a global leader in claims management.

Ideal candidates bring 5+ years of claims management experience, a HS diploma (Bachelor's preferred), and relevant licensing.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• Education credentials including HS diploma or GED; a Bachelor's degree is preferred.
• Licensing knowledge in OR is listed as relevant to the role.

Responsibilities

• Analyzing and processing claims through action plans to a timely resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Claims management

Negotiation

Communication with clients

Analytical thinking

Remote work adaptability

Education

Bachelor's degree preferred

High School Diploma or GED required

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze claims, determine benefits, and adjudicate claims for diverse clients. The role offers remote work options with flexibility, autonomy in daily tasks, and a path for career growth within a global leader in claims management.

Ideal candidates bring 5+ years of claims management experience, a HS diploma (Bachelor's preferred), and relevant licensing.