Remote Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; Las Vegas, Cheyenne (NV, WY); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Benefits package (medical, dental, 401

PTO and life insurance

Job summary

Sedgwick Claims Management Services Ltd in Reno, NV is hiring for a Workers' Compensation Claims Examiner. The role analyzes complex claims, adjudicates benefits, and ensures service standards while collaborating with clients and carriers.

Remote start with hybrid transition to Reno office, reflecting flexibility and local availability. Candidates should have 5+ years of claims experience, licensing in CA or NV, and a background in education or certification aligned to the line of business.

Qualifications

• Education: 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: Must be licensed in California or Nevada.

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

Claims management

Negotiation

Analysis

Communication

Regulatory knowledge

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

Job description

Sedgwick Claims Management Services Ltd in Reno, NV is hiring for a Workers' Compensation Claims Examiner. The role analyzes complex claims, adjudicates benefits, and ensures service standards while collaborating with clients and carriers.

Remote start with hybrid transition to Reno office, reflecting flexibility and local availability. Candidates should have 5+ years of claims experience, licensing in CA or NV, and a background in education or certification aligned to the line of business.