Remote Workers' Comp Claims Examiner – VA Jurisdiction

Sedgwick; United States; Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

Comprehensive benefits

Remote work

Job summary

Sedgwick seeks a Virginia Workers’ Compensation Claims Examiner to analyze and adjudicate complex claims remotely, supporting clients across industries with empathy and accuracy.

You will apply your experience to determine benefits, negotiate settlements within authority, and keep clients informed with clear, professional communication. This role offers flexibility and development opportunities with a comprehensive benefits package.

Qualifications

• 4+ years of claims management experience or equivalent combination of education and experience.
• 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

Education

High School Diploma

Bachelor's degree

Professional certification

Job description

Sedgwick seeks a Virginia Workers’ Compensation Claims Examiner to analyze and adjudicate complex claims remotely, supporting clients across industries with empathy and accuracy.

You will apply your experience to determine benefits, negotiate settlements within authority, and keep clients informed with clear, professional communication. This role offers flexibility and development opportunities with a comprehensive benefits package.