Remote Workers' Comp Claims Examiner I

Sedgwick; Baton Rouge (LA); Remote; USD 63,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision, 401K on day1

Flexible work schedule

Referral incentive program

Career development and growth

Promotional opportunities

Job summary

Sedgwick is hiring for a remote Claims Examiner (Workers' Compensation) to analyze and adjudicate claims on behalf of clients across the United States. You will assess benefits due, follow industry practices, and support service requirements.

In this remote role, you will negotiate settlements within authority, communicate with claimants and clients, and contribute to a rapidly growing, globally recognized risk and claims administration leader.

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.

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 analysis

Negotiation

Client communication

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is hiring for a remote Claims Examiner (Workers' Compensation) to analyze and adjudicate claims on behalf of clients across the United States. You will assess benefits due, follow industry practices, and support service requirements.

In this remote role, you will negotiate settlements within authority, communicate with claimants and clients, and contribute to a rapidly growing, globally recognized risk and claims administration leader.