Remote Workers' Compensation Claims Examiner

Sedgwick; Boston (MA); Remote; USD 64,000 - 85,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate workers' compensation claims for client programs, including determining benefits due and ensuring timely resolution. The role offers telecommuter/remote work options within WA and OR jurisdictions, with opportunities to negotiate settlements and coordinate with clients.

Ideal candidates have a high school diploma or GED, a bachelor's degree if possible, and at least 5 years of claims management experience,

Qualifications

• High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: OR (Oregon).

Responsibilities

• Analyzing and processing workers' compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a timely manner.

Skills

Claims management

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate workers' compensation claims for client programs, including determining benefits due and ensuring timely resolution. The role offers telecommuter/remote work options within WA and OR jurisdictions, with opportunities to negotiate settlements and coordinate with clients.

Ideal candidates have a high school diploma or GED, a bachelor's degree if possible, and at least 5 years of claims management experience,