Remote Workers' Comp Claims Examiner I

Sedgwick; Helena (MT); Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development opportunities

Comprehensive benefits including 401K

Job summary

Sedgwick is seeking a driven Claims Examiner for Workers’ Compensation in California. This remote, full-time role requires seasoned claims management experience to adjudicate complex claims with accuracy and empathy, while meeting service expectations and client requirements.

You’ll join a global leader with a caring culture, flexible work schedules, and agile collaboration across teams. Sedgwick offers extensive benefits, ongoing training, career development, and a clear path for growth within

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 management

California licensing

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a driven Claims Examiner for Workers’ Compensation in California. This remote, full-time role requires seasoned claims management experience to adjudicate complex claims with accuracy and empathy, while meeting service expectations and client requirements.

You’ll join a global leader with a caring culture, flexible work schedules, and agile collaboration across teams. Sedgwick offers extensive benefits, ongoing training, career development, and a clear path for growth within