Remote Workers' Comp Claims Examiner – Growth

Sedgwick Claims Management Services Ltd; Michigan; Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

PTO, disability & life insurance

Referral incentive program

Flexible scheduling

Job summary

Sedgwick seeks a Claims Examiner - Workers Compensation to analyze claims for our valued clients, determine benefits due, and adjudicate claims to meet service expectations. The role requires 5 years of claims management experience and licensing knowledge for IL & MI, with a high school diploma or GED as a base and a bachelor’s degree preferred.

The position supports a hybrid/remote work model, offering professional development, flexible scheduling, and comprehensive benefits as part of

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 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.

Skills

Claims management

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick seeks a Claims Examiner - Workers Compensation to analyze claims for our valued clients, determine benefits due, and adjudicate claims to meet service expectations. The role requires 5 years of claims management experience and licensing knowledge for IL & MI, with a high school diploma or GED as a base and a bachelor’s degree preferred.

The position supports a hybrid/remote work model, offering professional development, flexible scheduling, and comprehensive benefits as part of