Remote Workers' Comp Claims Examiner I

Sedgwick; Augusta (ME); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a driven Workers' Compensation Claims Examiner for a US telecommuter role. You will adjudicate complex claims for clients across multiple industries, focusing on timely benefits and excellent service.

This position emphasizes empathy, accountability, collaboration, and growth within Sedgwick's caring culture. Responsibilities include analyzing claims, negotiating settlements within authority, communicating with claimants and clients, and coordinating with excess carriers; the

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• Licensing/Jurisdiction Knowledge: NH, VT, MA, CT, RI, DC, DE, WV, VA

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

Claims management experience

Analytical thinking

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a driven Workers' Compensation Claims Examiner for a US telecommuter role. You will adjudicate complex claims for clients across multiple industries, focusing on timely benefits and excellent service.

This position emphasizes empathy, accountability, collaboration, and growth within Sedgwick's caring culture. Responsibilities include analyzing claims, negotiating settlements within authority, communicating with claimants and clients, and coordinating with excess carriers; the