Remote Workers' Compensation Claims Examiner

Sedgwick; Portland (ME); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Work in an agile environment

Career development and growth

Job summary

Sedgwick is seeking a dedicated Workers’ Compensation Claims Examiner to analyze Lost-Time claims for multiple jurisdictions with a national, remote-friendly setup. The role focuses on adjudicating benefits, maintaining service standards, and collaborating with clients and carriers across MA, CT, NH, RI, and VT.

The position emphasizes five years of claims management experience, a strong compliance mindset, and the ability to operate in a flexible, agile environment while delivering

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• 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 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

Analytical skills

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a dedicated Workers’ Compensation Claims Examiner to analyze Lost-Time claims for multiple jurisdictions with a national, remote-friendly setup. The role focuses on adjudicating benefits, maintaining service standards, and collaborating with clients and carriers across MA, CT, NH, RI, and VT.

The position emphasizes five years of claims management experience, a strong compliance mindset, and the ability to operate in a flexible, agile environment while delivering