Remote Workers' Comp Claims Examiner | Subrogation

Sedgwick; Pierre (SD); Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision

401k with match

PTO and life insurance

Referral incentive program

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation in AK to process low-level claims and determine benefits due, under supervision. You will adjudicate claims, identify subrogation, and negotiate settlements, while upholding client service standards.

The role emphasizes accuracy, timely action, and collaboration within Sedgwick's caring culture, with flexible remote options where appropriate.

Qualifications

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

Responsibilities

• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims.
• Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.
• Administers subrogation of claims and negotiates settlements.
• Communicates claim action with claimant and client.
• Maintains professional client relationships.

Skills

Claims management

Attention to detail

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation in AK to process low-level claims and determine benefits due, under supervision. You will adjudicate claims, identify subrogation, and negotiate settlements, while upholding client service standards.

The role emphasizes accuracy, timely action, and collaboration within Sedgwick's caring culture, with flexible remote options where appropriate.