Remote Workers' Comp Claims Examiner | Flexible Schedule

Sedgwick; Portland (OR); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Comprehensive benefits (medical, dent,

Vision, 401K on day one

Job summary

Sedgwick is hiring a Claims Examiner for Workers' Compensation with remote work options and jurisdiction coverage for OR and WA. The role focuses on analyzing complex claims, determining benefits, and ensuring adjudication aligns with client service expectations.

Ideal candidates have 5+ years of claims management experience, strong negotiation and communication skills, and knowledge of OR licensing requirements. Sedgwick offers a comprehensive benefits package and flexible work arrangements.

Qualifications

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

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is hiring a Claims Examiner for Workers' Compensation with remote work options and jurisdiction coverage for OR and WA. The role focuses on analyzing complex claims, determining benefits, and ensuring adjudication aligns with client service expectations.

Ideal candidates have 5+ years of claims management experience, strong negotiation and communication skills, and knowledge of OR licensing requirements. Sedgwick offers a comprehensive benefits package and flexible work arrangements.