Remote Workers' Comp Claims Examiner | Flexible Schedule

Sedgwick; Dover (DE); Hybrid; USD 70,000 - 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 for Workers' Compensation in a hybrid role serving MD and NJ. The position focuses on analyzing claims to determine benefits, negotiating settlements, and maintaining client communication while aligning with service standards.

Ideal candidates have 5 years of claims management experience, Home state licensing preference, and jurisdiction knowledge for MD/NJ. The role offers flexibility, comprehensive benefits, and growth opportunities.

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.

Responsibilities

• Analyzing and processing workers' compensation claims to determine exposure and benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions professionally and timely.

Skills

Claims handling

Negotiation

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation in a hybrid role serving MD and NJ. The position focuses on analyzing claims to determine benefits, negotiating settlements, and maintaining client communication while aligning with service standards.

Ideal candidates have 5 years of claims management experience, Home state licensing preference, and jurisdiction knowledge for MD/NJ. The role offers flexibility, comprehensive benefits, and growth opportunities.