Remote Workers' Compensation Claims Examiner

Sedgwick; Olympia (WA); Remote; USD 63,000 - 89,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner for Workers Compensation to analyze and adjudicate complex claims on behalf of clients. The role emphasizes remote work flexibility, professional judgment, and adherence to service expectations.

Ideal candidates will have 5 years of claims management experience, a home-state license, and a Bachelor’s degree preferred. The position offers an agile work environment and comprehensive benefits.

Qualifications

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

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 processing

Negotiation

Client communication

Analytical thinking

Time management

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers Compensation to analyze and adjudicate complex claims on behalf of clients. The role emphasizes remote work flexibility, professional judgment, and adherence to service expectations.

Ideal candidates will have 5 years of claims management experience, a home-state license, and a Bachelor’s degree preferred. The position offers an agile work environment and comprehensive benefits.