Remote Workers' Comp Claims Examiner I

Sedgwick; Lincoln (NE); Remote; USD 63,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career growth

Benefits package

Job summary

Sedgwick is seeking driven individuals to analyze workers' compensation claims for clients, determining benefits due while ensuring adjudication aligns with service expectations and client requirements.

This remote, full-time role offers a flexible schedule, opportunities for career growth, and a comprehensive benefits package including medical, dental, vision, 401(k) on day one, plus ongoing professional development.

Qualifications

• Education & Licensing: 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.

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

Professional certification

Job description

Sedgwick is seeking driven individuals to analyze workers' compensation claims for clients, determining benefits due while ensuring adjudication aligns with service expectations and client requirements.

This remote, full-time role offers a flexible schedule, opportunities for career growth, and a comprehensive benefits package including medical, dental, vision, 401(k) on day one, plus ongoing professional development.