Remote Workers' Compensation Claims Examiner

Sedgwick; Salem (OR); Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick is hiring a Claims Examiner Workers Compensation I to analyze and adjudicate complex workers’ compensation claims in a fast-paced, supportive environment. The role emphasizes timely resolutions, adherence to client requirements, and collaboration with a broad network of experts.

The ideal candidate will have a Texas license, strong analytical skills, and a track record of effective claim handling. Sedgwick offers flexible work options, career growth, and a comprehensive benefits package.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• 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.

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 management

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is hiring a Claims Examiner Workers Compensation I to analyze and adjudicate complex workers’ compensation claims in a fast-paced, supportive environment. The role emphasizes timely resolutions, adherence to client requirements, and collaboration with a broad network of experts.

The ideal candidate will have a Texas license, strong analytical skills, and a track record of effective claim handling. Sedgwick offers flexible work options, career growth, and a comprehensive benefits package.