Remote Workers' Compensation Claims Examiner

Sedgwick; Houston (TX); À distance; USD 70 000 - 75 000; Plein temps

Avantages offerts par ce poste

Flexible work schedule

Career development

Medical, dental, vision

401K on day one

Résumé du poste

Sedgwick is actively seeking a Workers' Compensation Claims Examiner to analyze Lost-Time claims for our valued clients. The role combines adjudication expertise with proactive client communication and a focus on timely resolutions in a flexible, supportive environment.

The ideal candidate has five years of claims management experience, heavy litigation exposure, and jurisdiction knowledge across multiple states.

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.
• Heavy Litigation - experience required
• Jurisdiction Knowledge: DE, IL, LA, MO, NJ, OK, TN, TX

Responsabilités

• 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.

Connaissances

Heavy litigation experience

Claims processing

Negotiation

Client communication

Formation

High School Diploma or GED

Bachelor’s degree

Professional certification (as applicable)

Description du poste

Sedgwick is actively seeking a Workers' Compensation Claims Examiner to analyze Lost-Time claims for our valued clients. The role combines adjudication expertise with proactive client communication and a focus on timely resolutions in a flexible, supportive environment.

The ideal candidate has five years of claims management experience, heavy litigation exposure, and jurisdiction knowledge across multiple states.