Remote Workers' Compensation Claims Examiner

Sedgwick; Buffalo (NY); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Benefits package

Job summary

Sedgwick is seeking a Telecommuter Claims Examiner to analyze Lost-time Workers Compensation claims for clients, determining benefits due while ensuring adjudication within service expectations. This role supports flexible, remote work across CT, MA, NJ, and VT jurisdictions, with opportunities for professional growth and a comprehensive benefits package.

The ideal candidate has 3+ years in claims management, licensure in CT or VT preferred, and a commitment to accuracy, collaboration, and

Qualifications

• Education & Licensing: High School Diploma or GED required.
• Bachelor’s degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing claims through well-developed action plans to resolution by investigating and gathering information.
• 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 directions promptly.

Skills

Analytical skills

Claims management

Jurisdiction knowledge

Education

High School Diploma

Bachelor’s degree preferred

Professional certification

Job description

Sedgwick is seeking a Telecommuter Claims Examiner to analyze Lost-time Workers Compensation claims for clients, determining benefits due while ensuring adjudication within service expectations. This role supports flexible, remote work across CT, MA, NJ, and VT jurisdictions, with opportunities for professional growth and a comprehensive benefits package.

The ideal candidate has 3+ years in claims management, licensure in CT or VT preferred, and a commitment to accuracy, collaboration, and