Remote Workers' Comp Claims Examiner I

Sedgwick; Boise (ID); Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Job summary

Sedgwick is hiring a California workers' compensation claims examiner for a remote, full-time role. You will analyze claims to determine benefits due in a fast-paced, client-focused environment.

With flexible work arrangements, ongoing professional development, and access to a broad client network, you will collaborate with teams to adjudicate claims timely and accurately while delivering value to clients. Requirements include 5 years of claims management experience, a High School Diploma or

Qualifications

• 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.

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

Communication

Attention to detail

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is hiring a California workers' compensation claims examiner for a remote, full-time role. You will analyze claims to determine benefits due in a fast-paced, client-focused environment.

With flexible work arrangements, ongoing professional development, and access to a broad client network, you will collaborate with teams to adjudicate claims timely and accurately while delivering value to clients. Requirements include 5 years of claims management experience, a High School Diploma or