Remote Workers' Compensation Claims Examiner

Sedgwick Claims Management Services; Salt Lake City (UT); Hybrid; USD 80,000 - 100,000; Full time

Job summary

Sedgwick Claims Management Services is seeking a Workers Compensation Claims Examiner in Salt Lake City, UT. The role analyzes claims to determine benefits due and adjudicates within client service requirements, with a transition from remote to hybrid work and eventual office reporting in Salt Lake City.

Ideal candidates have 5+ years in claims management, CA/NV licensing, and a HS diploma or GED; a bachelor’s degree is preferred. Sedgwick offers growth, benefits, and flexible work arrangements.

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.
• Licensing / Jurisdiction Knowledge: Must be licensed in California or Nevada.

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

Negotiation

Communication skills

Analytical thinking

Education

High School Diploma or GED

Bachelor’s degree (preferred)

Professional certification (as applicable)

Licensing in CA or NV

Job description

Sedgwick Claims Management Services is seeking a Workers Compensation Claims Examiner in Salt Lake City, UT. The role analyzes claims to determine benefits due and adjudicates within client service requirements, with a transition from remote to hybrid work and eventual office reporting in Salt Lake City.

Ideal candidates have 5+ years in claims management, CA/NV licensing, and a HS diploma or GED; a bachelor’s degree is preferred. Sedgwick offers growth, benefits, and flexible work arrangements.