Remote Workers' Comp Claims Examiner I

Sedgwick; Denver (CO); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Work in an agile environment

Job summary

Sedgwick is hiring a Claims Examiner I for a remote role in the United States. This position supports workers' compensation claims with an emphasis on adjudication, negotiation, and client communication.

The role offers flexible work arrangements, extensive professional development, and a comprehensive benefits package. Ideal candidates will have at least five years of claims management experience, a high school diploma (Bachelor’s degree preferred), and relevant professional certifications.

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 management experience

Adjudication

Negotiation

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification (as applicable)

Job description

Sedgwick is hiring a Claims Examiner I for a remote role in the United States. This position supports workers' compensation claims with an emphasis on adjudication, negotiation, and client communication.

The role offers flexible work arrangements, extensive professional development, and a comprehensive benefits package. Ideal candidates will have at least five years of claims management experience, a high school diploma (Bachelor’s degree preferred), and relevant professional certifications.