Remote Workers' Comp Claims Examiner I

Sedgwick; Lansing (MI); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner Workers' Compensation I to analyze and adjudicate complex workers' compensation claims. You will apply care, empathy, and careful investigation to determine benefits due, while aligning with client service requirements.

You will collaborate with a broad network of experts and contribute to a fast-paced, outcome-driven environment. This role emphasizes professional development and flexible work arrangements, with a comprehensive benefits package.

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

• Analyze and process claims to determine exposure and resolve within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carrier and respond to directions professionally and timely.

Skills

Claims management

Analytical thinking

Communication

Education

High School Diploma

Bachelor’s degree preferred

Professional certification

Job description

Sedgwick is seeking a Claims Examiner Workers' Compensation I to analyze and adjudicate complex workers' compensation claims. You will apply care, empathy, and careful investigation to determine benefits due, while aligning with client service requirements.

You will collaborate with a broad network of experts and contribute to a fast-paced, outcome-driven environment. This role emphasizes professional development and flexible work arrangements, with a comprehensive benefits package.