Remote Workers' Comp Claims Examiner – Growth

Sedgwick Claims Management Services Ltd; North Carolina; Hybrid; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Comprehensive benefits package

Job summary

Sedgwick is seeking a Lost-Time Workers' Compensation Claims Examiner to join its remote US team. You will analyze complex claims, determine benefits, and ensure adjudication aligns with client requirements and service expectations.

Ideal candidates have 5 years of claims management experience, a Bachelor's degree, and knowledge of the listed jurisdictions. Sedgwick offers growth, flexible scheduling, and comprehensive benefits.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Professional certification as applicable to line of business preferred.
• Jurisdiction knowledge includes DE, IL, LA, MO, NJ, OK, TN, TX.

Responsibilities

• Analyzing and processing Lost-Time Workers' Compensation claims to determine benefits and exposure.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and handling directions professionally.

Skills

Analytical thinking

Claims management experience

Jurisdiction knowledge

Education

Bachelor's degree

Professional certification (as applicable)

Job description

Sedgwick is seeking a Lost-Time Workers' Compensation Claims Examiner to join its remote US team. You will analyze complex claims, determine benefits, and ensure adjudication aligns with client requirements and service expectations.

Ideal candidates have 5 years of claims management experience, a Bachelor's degree, and knowledge of the listed jurisdictions. Sedgwick offers growth, flexible scheduling, and comprehensive benefits.