Remote Workers' Comp Claims Examiner - Growth & Flexibility

Sedgwick; Louisiana; Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

PTO

Disability and life insurance

Employee assistance

Flexible spending or health savings

Referral incentive program

Job summary

Sedgwick is seeking an experienced Claims Examiner to analyze Lost-Time Workers' Compensation claims for our valued clients. You will adjudicate benefits due, investigate exposures, and ensure timely processing in line with client service requirements.

In this role you will negotiate settlements, communicate regularly with claimants and clients, and leverage our global network to share insights while supporting professional development and flexible work arrangements.

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.
• Heavy Litigation - experience required
• Jurisdiction Knowledge: DE, IL, LA, MO, NJ, OK, TN, TX
• Licensing: Home state plus DE, LA, OK, TX

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 of claims management

Heavy Litigation experience

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

Job description

Sedgwick is seeking an experienced Claims Examiner to analyze Lost-Time Workers' Compensation claims for our valued clients. You will adjudicate benefits due, investigate exposures, and ensure timely processing in line with client service requirements.

In this role you will negotiate settlements, communicate regularly with claimants and clients, and leverage our global network to share insights while supporting professional development and flexible work arrangements.