Remote Workers' Comp Claims Examiner I

Sedgwick; Charleston (WV); Remote; USD 63,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Health benefits

Job summary

Sedgwick, a global leader in claims administration, seeks a remote Workers’ Compensation Claims Examiner I to analyze and adjudicate complex claims for clients nationwide. You will determine benefits due, communicate with claimants and clients, and help ensure timely resolutions in a fast-paced, service-oriented environment.

Ideal candidates have claims-management experience, strong attention to detail, and the ability to work independently from a home office while growing with Sedgwick’s

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• 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 management experience

Education

High School Diploma or GED

Bachelor’s degree (preferred)

Professional certification (preferred)

Job description

Sedgwick, a global leader in claims administration, seeks a remote Workers’ Compensation Claims Examiner I to analyze and adjudicate complex claims for clients nationwide. You will determine benefits due, communicate with claimants and clients, and help ensure timely resolutions in a fast-paced, service-oriented environment.

Ideal candidates have claims-management experience, strong attention to detail, and the ability to work independently from a home office while growing with Sedgwick’s