Remote Workers’ Compensation Claims Examiner

Sedgwick

Lincoln (NE)

Hybrid

USD 70,000 - 85,000

Full time

4 days ago

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Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and promotions

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation to analyze and adjudicate complex claims on behalf of clients, with emphasis on timely resolutions and service excellence. This role offers a hybrid work setup with an in-office/remote balance and access to a comprehensive benefits package designed to support mental, physical, and financial well-being.

Ideal candidates have 5 years of claims management experience, MD/NJ jurisdiction knowledge, and a strong customer-service

Qualifications

Education: High School Diploma or GED required; Bachelor's degree preferred.
Experience: 5 years of claims management experience or equivalent combination of education and experience.
Licensing: Home state preferred

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.