Remote Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; Massachusetts; Hybrid; USD 75,000 - 80,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career growth

Benefits package

Job summary

Sedgwick Claims Management Services Ltd is seeking a Workers Compensation Claims Examiner in Massachusetts. The role focuses on analyzing claims, determining benefits, and adjudicating within service expectations while collaborating with clients.

Ideal candidates have 3+ years of claims management experience, knowledge of multiple jurisdictions, and relevant licensing. The position offers flexible scheduling, a supportive culture, and comprehensive benefits.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred; professional certification as applicable.
• Experience: 3+ years of claims management experience.
• Jurisdiction Knowledge: MA, CT, RI, NH, PA, NJ; VT a plus.
• Licensing: CT, RI, NH or reciprocal; VT a plus.

Responsibilities

• Analyzing and processing claims through action plans to resolution by investigating and gathering information to determine exposure.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

3+ years claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick Claims Management Services Ltd is seeking a Workers Compensation Claims Examiner in Massachusetts. The role focuses on analyzing claims, determining benefits, and adjudicating within service expectations while collaborating with clients.

Ideal candidates have 3+ years of claims management experience, knowledge of multiple jurisdictions, and relevant licensing. The position offers flexible scheduling, a supportive culture, and comprehensive benefits.