Remote Workers' Compensation Claims Examiner

Sedgwick; Chicago (IL); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k on day one

Flexible work schedule

Career development opportunities

Job summary

Sedgwick is seeking a Claims Examiner to analyze lost-time workers' compensation claims for multiple clients from a remote environment. You will adjudicate exposure, manage investigations, and coordinate with claimants and clients to support timely resolutions.

Ideal candidates have 5+ years of claims management experience, heavy litigation exposure, and jurisdiction knowledge across DE, IL, LA, MO, NJ, OK, TN, TX. Sedgwick offers flexible schedules and robust benefits.

Qualifications

• High School Diploma or GED required; bachelor's preferred.
• 5 years claims management experience or equivalent.
• Heavy litigation experience required.
• Jurisdiction knowledge: DE, IL, LA, MO, NJ, OK, TN, TX.

Responsibilities

• Analyzing and processing claims to resolution by investigating information to determine exposure.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions professionally.

Skills

5 years claims management experience

Heavy litigation experience

Jurisdiction knowledge DE IL LA MO NJ

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

Job description

Sedgwick is seeking a Claims Examiner to analyze lost-time workers' compensation claims for multiple clients from a remote environment. You will adjudicate exposure, manage investigations, and coordinate with claimants and clients to support timely resolutions.

Ideal candidates have 5+ years of claims management experience, heavy litigation exposure, and jurisdiction knowledge across DE, IL, LA, MO, NJ, OK, TN, TX. Sedgwick offers flexible schedules and robust benefits.