Remote Workers' Comp Claims Examiner I

Sedgwick; Juneau (AK); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick, a global leader in claims management, is seeking a driven Claims Examiner for Workers’ Compensation to analyze complex claims and determine benefits within client service guidelines. This role offers an agile environment, flexibility, and opportunities for growth across a broad network of clients and experts.

Ideal candidates have 5 years of claims management experience, a High School Diploma or GED (Bachelor’s preferred), and professional certifications as applicable.

Qualifications

• Education & Licensing: 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.
• 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.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick, a global leader in claims management, is seeking a driven Claims Examiner for Workers’ Compensation to analyze complex claims and determine benefits within client service guidelines. This role offers an agile environment, flexibility, and opportunities for growth across a broad network of clients and experts.

Ideal candidates have 5 years of claims management experience, a High School Diploma or GED (Bachelor’s preferred), and professional certifications as applicable.