Remote Workers' Comp Claims Examiner — Flexible & Impactful

Sedgwick; Lincoln (NE); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible schedule

Career development

Benefits from day one

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with the Southeast jurisdictions who can adjudicate complex claims in a remote setting. You will analyze exposure, gather information, and determine benefits due while meeting service expectations and client requirements.

Ideal candidates bring 5 years of claims management experience, a home-state license for Southeast States, and a foundation in education/licensing as listed.

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: Home state license required, Southeast States

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

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with the Southeast jurisdictions who can adjudicate complex claims in a remote setting. You will analyze exposure, gather information, and determine benefits due while meeting service expectations and client requirements.

Ideal candidates bring 5 years of claims management experience, a home-state license for Southeast States, and a foundation in education/licensing as listed.