Remote Workers' Comp Claims Examiner I (CA)

Sedgwick; Boston (MA); Remote; USD 63,000 - 95,000; 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 for Workers' Compensation in a remote, US-based role. You will analyze California workers' compensation claims for clients and adjudicate benefits with a focus on service levels and best practices.

The ideal candidate has experience in claims management and may hold relevant certifications; flexible schedules and strong career development opportunities are offered, with a comprehensive benefits package.

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.

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

Education

High School Diploma

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation in a remote, US-based role. You will analyze California workers' compensation claims for clients and adjudicate benefits with a focus on service levels and best practices.

The ideal candidate has experience in claims management and may hold relevant certifications; flexible schedules and strong career development opportunities are offered, with a comprehensive benefits package.