Remote Workers' Compensation Claims Examiner

Sedgwick; Columbus (OH); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Comprehensive benefits package

Career development opportunities

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate complex claims remotely for WA & OR jurisdictions. This role emphasizes timely adjudication, compliance, and strong client collaboration.

You will work within an agile, supportive environment, with opportunities for growth, comprehensive benefits, and flexible scheduling to help maintain work-life balance.

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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: OR

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• 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 requests of directions in a professional and timely manner.

Skills

Claims management

Negotiation

Client communication

Education

High school diploma or GED

Bachelor's degree preferred

Professional certification where applicable

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze and adjudicate complex claims remotely for WA & OR jurisdictions. This role emphasizes timely adjudication, compliance, and strong client collaboration.

You will work within an agile, supportive environment, with opportunities for growth, comprehensive benefits, and flexible scheduling to help maintain work-life balance.