Remote Workers' Comp Claims Examiner - Growth & Impact

Sedgwick; Clayton (NC); Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k) on day one

Job summary

Sedgwick is seeking a Claims Examiner to analyze Workers’ Compensation claims for diverse clients within a hybrid work model in the United States. You will determine benefits due, gather information, and build action plans to resolve claims promptly.

You will negotiate settlements within authority, communicate with claimants and clients, and report to excess carriers. Remaining compliant with licensing and jurisdiction requirements is essential.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.

Responsibilities

• Analyze Workers' Compensation claims to determine benefits due and adjudicate within service expectations.
• Investigate and gather information to assess exposure and plan for resolution.
• Negotiate settlements within designated authority and communicate claim activity to claimants and clients.

Skills

Judgment

Troubleshooting

Problem solving

Analysis

Discretion

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a Claims Examiner to analyze Workers’ Compensation claims for diverse clients within a hybrid work model in the United States. You will determine benefits due, gather information, and build action plans to resolve claims promptly.

You will negotiate settlements within authority, communicate with claimants and clients, and report to excess carriers. Remaining compliant with licensing and jurisdiction requirements is essential.