Remote Workers' Comp Claims Examiner I

Sedgwick; Olympia (WA); Remote; USD 63,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a driven Claims Examiner (Workers' Compensation) to join our remote team. You will analyze workers' compensation claims for our valued clients, determine benefits due, and ensure adjudication meets service expectations and client requirements.

Ideal candidates have 5 years of claims management experience or an equivalent combination of education and experience, with a HS diploma or GED; a Bachelor's degree is preferred.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required; Bachelor's degree 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

Negotiation

Communication

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable to line of business

Tools

Claims management software

Job description

Sedgwick is seeking a driven Claims Examiner (Workers' Compensation) to join our remote team. You will analyze workers' compensation claims for our valued clients, determine benefits due, and ensure adjudication meets service expectations and client requirements.

Ideal candidates have 5 years of claims management experience or an equivalent combination of education and experience, with a HS diploma or GED; a Bachelor's degree is preferred.