Remote Workers' Compensation Claims Examiner

Sedgwick; Denver (CO); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career development

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with remote work options. You will analyze and adjudicate complex WC claims, determine benefits due, and ensure alignment with client service requirements.

The role emphasizes flexibility, autonomy, and a comprehensive benefits package. Ideal candidates will have 5+ years of claims management experience, LICENSING for your home state and Southeast States, and a commitment to Sedgwick’s caring culture and professional growth

Qualifications

• High School Diploma or GED required; bachelor’s degree preferred.
• Professional certification as applicable to line of business is a plus.
• 5 years of claims management experience or equivalent.
• Home state license required; Southeast States licensing knowledge favored.

Responsibilities

• Analyze workers’ compensation claims to determine benefits due.
• Adjudicate claims within service expectations and client requirements.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients; report to excess carrier when needed.

Skills

WC claims experience

Claims adjudication

Client communications

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

Claims processing software

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with remote work options. You will analyze and adjudicate complex WC claims, determine benefits due, and ensure alignment with client service requirements.

The role emphasizes flexibility, autonomy, and a comprehensive benefits package. Ideal candidates will have 5+ years of claims management experience, LICENSING for your home state and Southeast States, and a commitment to Sedgwick’s caring culture and professional growth