Remote Workers’ Comp Claims Examiner — Growth & Flex

Sedgwick; Fayetteville (NC); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career growth

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with jurisdiction focus on the Southeast States. The role requires analyzing claims, determining benefits, and adhering to client service standards in a remote setting.

Strong negotiation and communication skills are essential, along with a state license for the Southeast region. The ideal candidate has 5 years of claims management experience, a HS diploma or GED, and preferably a Bachelor's degree.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent combination.
• Home state license for the Southeast States is required.

Responsibilities

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

Skills

WC Claims

Adjudication

Negotiation

Communication

Education

HS Diploma or GED

Bachelor's preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with jurisdiction focus on the Southeast States. The role requires analyzing claims, determining benefits, and adhering to client service standards in a remote setting.

Strong negotiation and communication skills are essential, along with a state license for the Southeast region. The ideal candidate has 5 years of claims management experience, a HS diploma or GED, and preferably a Bachelor's degree.