Remote Workers' Comp Claims Examiner – Flexible & Impactful

Sedgwick; Madison (WI); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a remote Claims Examiner for Workers’ Compensation to adjudicate complex claims across WA and OR. You’ll work within an energetic culture, enjoying flexibility in location and career growth while applying WC knowledge to determine benefits and settlements.

The role requires 5 years of claims management experience, a high school diploma or GED, and OR licensing knowledge. Sedgwick offers a comprehensive benefits package and a supportive, inclusive work environment.

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 adjudication

WC claims experience

Negotiation skills

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (line of business)

Job description

Sedgwick is seeking a remote Claims Examiner for Workers’ Compensation to adjudicate complex claims across WA and OR. You’ll work within an energetic culture, enjoying flexibility in location and career growth while applying WC knowledge to determine benefits and settlements.

The role requires 5 years of claims management experience, a high school diploma or GED, and OR licensing knowledge. Sedgwick offers a comprehensive benefits package and a supportive, inclusive work environment.