Remote Workers' Compensation Claims Examiner

Sedgwick; Oregon; Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile work environment

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick is hiring a Claims Examiner to analyze Lost-Time Workers Compensation claims for clients, determining benefits due and ensuring adjudication within service expectations.

The role requires strong claims management experience, knowledge of MA, CT, NH, RI, VT jurisdictions, and licensing in VT, CT, NH, RI. Sedgwick offers flexible schedules, remote-friendly environments, and a comprehensive benefits package.

Qualifications

• 5 years of claims management experience.
• Jurisdiction knowledge MA, CT, NH, RI, VT.
• Licensing VT, CT, NH, RI.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine 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

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring a Claims Examiner to analyze Lost-Time Workers Compensation claims for clients, determining benefits due and ensuring adjudication within service expectations.

The role requires strong claims management experience, knowledge of MA, CT, NH, RI, VT jurisdictions, and licensing in VT, CT, NH, RI. Sedgwick offers flexible schedules, remote-friendly environments, and a comprehensive benefits package.