Remote Workers' Comp Claims Examiner — Flexible Growth

Sedgwick; United States; Hybrid; USD 75,000 - 80,000; Full time

Benefits offered by this job

Medical benefits

401K on day one

Flexible schedule

Referral incentives

Career development

Job summary

Sedgwick, a global leader in claims management, seeks a Workers' Compensation Claims Examiner for jurisdictions MA CT RI NH PA NJ, with CT/RI/NH licensing. The role offers flexible work options and a broad benefits package.

You will analyze and adjudicate claims, negotiate settlements within authority, and keep clients informed throughout the process while collaborating with an expert network to deliver excellent service and career growth opportunities.

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.
• 3+ years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: MA CT RI NH PA NJ, (VT is a plus).
• Licensing: CT RI NH or reciprocal (VT is a plus).

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 directions in a professional and timely manner.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Tools

Licensing CT RI NH

Reciprocal VT

Job description

Sedgwick, a global leader in claims management, seeks a Workers' Compensation Claims Examiner for jurisdictions MA CT RI NH PA NJ, with CT/RI/NH licensing. The role offers flexible work options and a broad benefits package.

You will analyze and adjudicate claims, negotiate settlements within authority, and keep clients informed throughout the process while collaborating with an expert network to deliver excellent service and career growth opportunities.