Remote Workers' Compensation Claims Examiner

Sedgwick; Pierre (SD); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation, remote across the United States. You will analyze complex claims, determine benefits, and ensure adjudication aligns with client service requirements.

The role offers flexibility, autonomy, and a pathway for growth within a global risk and claims leader. Licensing in the Southeast States is required and a strong track record in claims management is expected.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 5 years of claims management experience or equivalent combination.
• Licensing/Jurisdiction: Home state license required, Southeast States.

Responsibilities

• Analyze workers compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and respond to directions promptly.

Skills

Claims management experience

Analytical thinking

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation, remote across the United States. You will analyze complex claims, determine benefits, and ensure adjudication aligns with client service requirements.

The role offers flexibility, autonomy, and a pathway for growth within a global risk and claims leader. Licensing in the Southeast States is required and a strong track record in claims management is expected.