Remote Workers' Comp Claims Specialist

Sedgwick; Tallahassee (FL); À distance; USD 90 000 - 95 000; Plein temps

Avantages offerts par ce poste

Flexible work schedule

Referral incentive

Remote environment

Career development

Benefits package

Résumé du poste

Sedgwick, a global leader in claims administration, seeks a Lost-Time Workers’ Compensation Claims Examiner to analyze complex claims for public entities. You will determine benefits due while ensuring adjudication aligns with client service requirements and industry best practices.

The role requires NY jurisdictional knowledge and licensing, offers remote work options, a flexible schedule, and a comprehensive benefits package.

Qualifications

• Education & licensing: HS diploma/GED required; bachelor's preferred; professional certs as applicable.
• Experience: 3–5 years of claims management experience or equivalent.
• Public Entity Workers Compensation preferred; NY jurisdiction knowledge required.

Responsabilités

• Analyze and process Lost-Time Workers' Compensation claims to determine benefits and resolution.
• Negotiate settlements within designated authority and timelines.
• Communicate claim activity with claimants and clients, manage documentation.
• Report claims to excess carrier and respond to directions professionally.

Connaissances

Claims adjudication

Negotiation

Documentation & communication

Regulatory knowledge

Jurisdiction NY

Formation

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

Description du poste

Sedgwick, a global leader in claims administration, seeks a Lost-Time Workers’ Compensation Claims Examiner to analyze complex claims for public entities. You will determine benefits due while ensuring adjudication aligns with client service requirements and industry best practices.

The role requires NY jurisdictional knowledge and licensing, offers remote work options, a flexible schedule, and a comprehensive benefits package.