Remote Workers' Compensation Claims Examiner

Sedgwick; Augusta (ME); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with match

PTO and flexible schedule

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze and adjudicate complex WC claims for clients, focusing on timely resolution and adherence to client requirements, with a flexible work arrangement.

Ideal candidates have 5 years of claims management experience, a home-state license, and a Bachelor's degree. Sedgwick offers a comprehensive benefits package, career development, and a hybrid office setup within 25 miles of Sedgwick offices.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification relevant to line of business preferred.
• Licensing: Home state preferred.

Responsibilities

• Analyzing and processing claims to determine exposure and resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to excess carriers and providing timely directions.

Skills

WC claims knowledge

Negotiation

Education

Bachelor's degree

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to analyze and adjudicate complex WC claims for clients, focusing on timely resolution and adherence to client requirements, with a flexible work arrangement.

Ideal candidates have 5 years of claims management experience, a home-state license, and a Bachelor's degree. Sedgwick offers a comprehensive benefits package, career development, and a hybrid office setup within 25 miles of Sedgwick offices.