Remote Workers' Compensation Claims Examiner

Sedgwick; Little Rock (AR); Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

401K on day one

Medical, dental, vision

Job summary

Sedgwick, a global leader in risk and claims management, is seeking a Claims Examiner for workers' compensation. The role focuses on adjudicating complex claims for a diverse client base, with remote work options across multiple states.

You will analyze claims, determine benefits, and coordinate with clients to ensure timely resolutions while upholding service standards and industry best practices.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.

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 analysis

Negotiation

Communication

Education

High School Diploma

Bachelor's degree preferred

Job description

Sedgwick, a global leader in risk and claims management, is seeking a Claims Examiner for workers' compensation. The role focuses on adjudicating complex claims for a diverse client base, with remote work options across multiple states.

You will analyze claims, determine benefits, and coordinate with clients to ensure timely resolutions while upholding service standards and industry best practices.