Remote Workers' Compensation Claims Examiner

Sedgwick; Augusta (ME); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to join our remote team supporting Southeast States. You will analyze WC claims, determine benefits due, and adjudicate under client service requirements, with autonomy and flexibility in your daily work.

The ideal candidate has 5 years of claims management experience, a HS diploma or GED (Bachelor's preferred), and a Southeast state license. Sedgwick offers comprehensive benefits, a caring culture, and opportunities for career growth.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Home state license required, Southeast States.

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

Analytical skills

Attention to detail

Education

Bachelor's degree

High School Diploma or GED

Professional certification

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to join our remote team supporting Southeast States. You will analyze WC claims, determine benefits due, and adjudicate under client service requirements, with autonomy and flexibility in your daily work.

The ideal candidate has 5 years of claims management experience, a HS diploma or GED (Bachelor's preferred), and a Southeast state license. Sedgwick offers comprehensive benefits, a caring culture, and opportunities for career growth.