Remote Workers' Comp Claims Specialist

Sedgwick; Des Moines (IA); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Career development opportunities

401K on day one

Medical, dental, vision

Job summary

Sedgwick is seeking driven individuals for a remote Claims Examiner Workers Compensation role in the US. This position emphasizes adjudication, negotiation, and strong client communication to determine benefits due while meeting service expectations.

The ideal candidate embraces Sedgwick’s caring counts values and a flexible, agile work style. With opportunities for professional development, the role supports a diverse benefits package and a pathway for growth within a global leader in risk and

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 adjudication

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking driven individuals for a remote Claims Examiner Workers Compensation role in the US. This position emphasizes adjudication, negotiation, and strong client communication to determine benefits due while meeting service expectations.

The ideal candidate embraces Sedgwick’s caring counts values and a flexible, agile work style. With opportunities for professional development, the role supports a diverse benefits package and a pathway for growth within a global leader in risk and