Remote Workers' Compensation Claims Examiner

Sedgwick; Dover (DE); Remote; EUR 56,000 - 79,000; Full time

Benefits offered by this job

Flexible schedule

Referral bonus

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with remote flexibility. You will analyze complex WC claims, determine benefits, and adjudicate to client specifications within service standards.

The role emphasizes autonomy, agility, and a comprehensive benefits culture. Ideal candidates have about 5 years in claims management and hold a state license; Southeast States licensing is highlighted.

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: Home state license required, Southeast States

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

Analytical thinking

Negotiation

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with remote flexibility. You will analyze complex WC claims, determine benefits, and adjudicate to client specifications within service standards.

The role emphasizes autonomy, agility, and a comprehensive benefits culture. Ideal candidates have about 5 years in claims management and hold a state license; Southeast States licensing is highlighted.