Remote Workers' Compensation Claims Examiner

Sedgwick; Boise (ID); Remote; USD 63,000 - 89,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation to adjudicate complex claims remotely, ensuring timely resolutions while maintaining service standards. You will analyze exposure, negotiate settlements, and keep clients informed throughout the process.

Ideal candidates bring 5+ years of claims management experience, a high school diploma or GED, and licensure in their home state; a Bachelor's degree is preferred. Sedgwick offers flexible remote work and comprehensive benefits.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Home state license required; primary states AL, FL, GA, NC, SC, TN.

Responsibilities

• Analyzing and processing claims through action plans to timely resolution by investigating and gathering information to determine exposure.
• Negotiating settlement within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Claims analysis

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation to adjudicate complex claims remotely, ensuring timely resolutions while maintaining service standards. You will analyze exposure, negotiate settlements, and keep clients informed throughout the process.

Ideal candidates bring 5+ years of claims management experience, a high school diploma or GED, and licensure in their home state; a Bachelor's degree is preferred. Sedgwick offers flexible remote work and comprehensive benefits.