Remote Workers' Comp Claims Examiner - Growth & Flex

Sedgwick; Topeka (KS); Remote; USD 75.000 - 90.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision

401(k) and matching

PTO

Zusammenfassung

Sedgwick is actively seeking a Claims Examiner for Workers' Compensation—Jurisdiction & Licensing: AK—Remote. This role focuses on processing low level claims, determining benefits, and continuing adjudication with supervision.

AK jurisdiction and licensing are required. The position offers a stable office-based environment with remote flexibility, care-driven culture, and strong career development opportunities across diverse claims domains.

Qualifikationen

• 5 years of claims management experience or equivalent combination of education and experience required.
• 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.

Aufgaben

• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Ensures claim files are properly documented and claims coding is correct.
• May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.
• Maintains professional client relationships.

Kenntnisse

Claims handling

Communication

Ausbildung

High School Diploma or GED

Bachelor's degree preferred

Jobbeschreibung

Sedgwick is actively seeking a Claims Examiner for Workers' Compensation—Jurisdiction & Licensing: AK—Remote. This role focuses on processing low level claims, determining benefits, and continuing adjudication with supervision.

AK jurisdiction and licensing are required. The position offers a stable office-based environment with remote flexibility, care-driven culture, and strong career development opportunities across diverse claims domains.