Remote Workers' Compensation Claims Examiner

Sedgwick; Lansing (MI); Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision

401k with company match

PTO

Disability insurance

Life insurance

Employee assistance program

HSA/FSA

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation with jurisdiction and licensing in AK for a remote role. You will process low-level workers' compensation claims, determine benefits, and coordinate actions with clients and claimants while maintaining state compliance.

The position emphasizes empathy, accountability, collaboration, and growth within an agile environment. The role offers flexibility, a diverse benefits package, and opportunities for career development in a company

Qualifications

• 5 years of claims management experience or equivalent education/experience required.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification applicable to line of business preferred.

Responsibilities

• Processes low level workers' compensation claims determining compensability and benefits due.
• Develops action plans for resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plans.
• Administers subrogation and negotiates settlements.
• Communicates claim actions with claimants and clients.
• Ensures claim files are properly documented and claims coding is correct.
• May process low-level lifetime or defined period medical claims and state filings.

Skills

Claims management

Attention to detail

Communication

Education

High School diploma or GED

Bachelor's degree preferred

Professional certification applicable to line of business

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation with jurisdiction and licensing in AK for a remote role. You will process low-level workers' compensation claims, determine benefits, and coordinate actions with clients and claimants while maintaining state compliance.

The position emphasizes empathy, accountability, collaboration, and growth within an agile environment. The role offers flexibility, a diverse benefits package, and opportunities for career development in a company