Remote Workers' Comp Claims Examiner | Flexible & Impactful

Sedgwick; Topeka (KS); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for its valued clients in WA/OR with remote flexibility. You will adjudicate complex claims, negotiate settlements within authority, and communicate progress to claimants and clients, while leveraging Sedgwick's agile environment and supportive benefits.

Experience in WC claims and strong analytical skills are essential; a high school diploma is required with a degree preferred.

Qualifications

• High School Diploma or GED required.
• Bachelor’s degree preferred.
• Professional certification as applicable to line of business preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.

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

WC claims knowledge

Adjudication

Negotiation

Communication

Claims management

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification as applicable

Tools

OR License

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for its valued clients in WA/OR with remote flexibility. You will adjudicate complex claims, negotiate settlements within authority, and communicate progress to claimants and clients, while leveraging Sedgwick's agile environment and supportive benefits.

Experience in WC claims and strong analytical skills are essential; a high school diploma is required with a degree preferred.