Remote Workers' Comp Claims Examiner I

Sedgwick; Raleigh (NC); Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Job summary

Sedgwick is seeking an experienced Claims Examiner for Workers' Compensation in a remote, US-based role. You will analyze California claims, adjudicate benefits, and liaise with clients while upholding service standards and industry best practices.

Ideal candidates bring 5+ years in claims management, a related degree, and professional certifications. Sedgwick offers a flexible schedule, agile work environment, and a comprehensive benefits package across medical, dental, vision, 401(k) matching,

Qualifications

• 5 years of claims management experience or equivalent.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing California workers' compensation claims to determine benefits.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions professionally.

Skills

Claims management

Analytical thinking

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking an experienced Claims Examiner for Workers' Compensation in a remote, US-based role. You will analyze California claims, adjudicate benefits, and liaise with clients while upholding service standards and industry best practices.

Ideal candidates bring 5+ years in claims management, a related degree, and professional certifications. Sedgwick offers a flexible schedule, agile work environment, and a comprehensive benefits package across medical, dental, vision, 401(k) matching,