Remote Workers’ Comp Claims Examiner — Resolve Complex Claims

Sedgwick; Alton (IL); Remoto; USD 70.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible work schedule

Referral incentive

Career development

Comprehensive benefits

Descrizione del lavoro

Sedgwick is seeking a qualified Workers' Compensation Claims Examiner to adjudicate Lost-Time claims for national clients. You will analyze complex files to determine benefits due and ensure timely adjudication in line with client requirements.

Ideal candidates have 5 years of claims management experience, heavy litigation exposure, and appropriate licensing. Jurisdictions include DE, IL, LA, MO, NJ, OK, TN, TX; home state plus DE/LA/OK/TX licensing preferred.

Competenze

• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• 5 years of claims management experience or equivalent.

Mansioni

• Analyzing and processing claims to determine exposure and benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to excess carrier and responding to directions promptly.

Conoscenze

Claims management

Litigation experience

Analytical thinking

Formazione

High School Diploma or GED

Bachelor's degree preferred

Professional certification (line of business)

Descrizione del lavoro

Sedgwick is seeking a qualified Workers' Compensation Claims Examiner to adjudicate Lost-Time claims for national clients. You will analyze complex files to determine benefits due and ensure timely adjudication in line with client requirements.

Ideal candidates have 5 years of claims management experience, heavy litigation exposure, and appropriate licensing. Jurisdictions include DE, IL, LA, MO, NJ, OK, TN, TX; home state plus DE/LA/OK/TX licensing preferred.