Remote Workers' Compensation Claims Examiner

Sedgwick; Knoxville (TN); À distance; USD 70 000 - 75 000; Plein temps

Avantages offerts par ce poste

Flexible work schedule

Referral incentive program

Career development and promotional增长

Medical, dental vision, 401K on day 1

Résumé du poste

Sedgwick is seeking a dedicated Loss-Time Workers Compensation claims examiner to adjudicate complex cases for a diverse client base, with a focus on service quality and client requirements. This remote/hybrid role supports adjudication of Lost-Time Workers' compensation claims across multiple jurisdictions.

The ideal candidate will have 5 years of claims management experience, strong litigation exposure, and relevant education.

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
• Licensing: Home state plus DE, LA, OK, 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

Analytical skills

Claims management experience

Negotiation

Formation

High School Diploma or GED

Bachelor's degree preferred

Description du poste

Sedgwick is seeking a dedicated Loss-Time Workers Compensation claims examiner to adjudicate complex cases for a diverse client base, with a focus on service quality and client requirements. This remote/hybrid role supports adjudication of Lost-Time Workers' compensation claims across multiple jurisdictions.

The ideal candidate will have 5 years of claims management experience, strong litigation exposure, and relevant education.