Remote Workers' Compensation Claims Examiner

Sedgwick; Texas; Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits (medical,Dental

Job summary

Sedgwick, a leading global provider in the claims management field, is seeking a seasoned Loss-Time Workers’ Compensation Claims Examiner in a remote-friendly role in the United States. You will analyze and adjudicate complex Lost-Time claims for premier clients, determine benefits due, and ensure timely, accurate processing in line with client service requirements.

Key responsibilities include investigating claims, negotiating settlements within authority, and maintaining ongoing communication

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.
• Heavy Litigation - experience required

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

Job description

Sedgwick, a leading global provider in the claims management field, is seeking a seasoned Loss-Time Workers’ Compensation Claims Examiner in a remote-friendly role in the United States. You will analyze and adjudicate complex Lost-Time claims for premier clients, determine benefits due, and ensure timely, accurate processing in line with client service requirements.

Key responsibilities include investigating claims, negotiating settlements within authority, and maintaining ongoing communication