Remote Workers' Comp Claims Examiner - Growth & Balance

Sedgwick; Saint Paul (MN); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Medical, dental, vision, 401K and more

Job summary

Sedgwick is hiring a Claims Examiner - Workers Compensation to analyze claims for our clients, determine benefits due, and adjudicate with adherence to service expectations. This remote role offers autonomy, collaboration, and a strong support network within a global leader.

The ideal candidate has 5 years of claims management experience, a Home state license for the Southeast States, and a Bachelor’s degree preferred. A robust benefits package and flexible schedule are provided.

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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: Home state license required, Southeast States

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

5+ years claims

Education

High School Diploma / GED

Bachelor’s degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is hiring a Claims Examiner - Workers Compensation to analyze claims for our clients, determine benefits due, and adjudicate with adherence to service expectations. This remote role offers autonomy, collaboration, and a strong support network within a global leader.

The ideal candidate has 5 years of claims management experience, a Home state license for the Southeast States, and a Bachelor’s degree preferred. A robust benefits package and flexible schedule are provided.