Remote Workers' Compensation Claims Examiner

Sedgwick; United States; Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career development opportunities

Benefits on day one

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation in the United States with WA or OR jurisdiction. This role analyzes workers’ compensation claims to determine benefits due, adhering to client requirements and service expectations.

Licensing to WWCP or Oregon WCC certification is required, with 5 years of claims management experience preferred. The ideal candidate will handle complex claims, negotiate settlements, and communicate progress to claimants and clients.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• Professional certification as applicable to the line of business preferred.
• Licensing: WWCP or Oregon Workers’ Compensation Claims Examiner Certification
• Jurisdiction Knowledge: WA or OR

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

Negotiation

Client communication

Analytical thinking

Attention to detail

Education

High School Diploma or GED

Bachelor’s degree preferred

WWCP or Oregon WCC Certification

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation in the United States with WA or OR jurisdiction. This role analyzes workers’ compensation claims to determine benefits due, adhering to client requirements and service expectations.

Licensing to WWCP or Oregon WCC certification is required, with 5 years of claims management experience preferred. The ideal candidate will handle complex claims, negotiate settlements, and communicate progress to claimants and clients.