Remote Workers' Comp Claims Examiner I

Sedgwick; Honolulu (HI); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentives

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a driven Claims Examiner to analyze workers' compensation claims for a diverse set of clients. This role emphasizes adjudication, timely resolution, and adherence to client service requirements within a dynamic, collaborative environment.

You will operate within Sedgwick's caring culture, offering growth opportunities and flexible work arrangements, with access to comprehensive benefits as part of a global industry leader.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Licensing / Jurisdiction Knowledge: NH, VT, MA, CT, RI, DC, DE, WV, VA

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 certifications

Job description

Sedgwick is seeking a driven Claims Examiner to analyze workers' compensation claims for a diverse set of clients. This role emphasizes adjudication, timely resolution, and adherence to client service requirements within a dynamic, collaborative environment.

You will operate within Sedgwick's caring culture, offering growth opportunities and flexible work arrangements, with access to comprehensive benefits as part of a global industry leader.