Remote Workers' Compensation Claims Examiner

Sedgwick; United States; Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Job summary

Sedgwick is hiring a Claims Examiner - Workers Compensation to adjudicate complex workers compensation claims on behalf of clients. The role emphasizes analytics, timely adjudication, and excellent customer service.

Licensing in CA or NV is required, with a strong background in claims management and ongoing professional development opportunities. Work arrangements offer remote flexibility while maintaining high service standards.

Qualifications

• 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 a timely resolution by investigating and gathering information to determine 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 directions in a professional and timely manner.

Skills

Claims management

Negotiation

Communication

Problem solving

Education

High school diploma

Bachelor's degree preferred

Job description

Sedgwick is hiring a Claims Examiner - Workers Compensation to adjudicate complex workers compensation claims on behalf of clients. The role emphasizes analytics, timely adjudication, and excellent customer service.

Licensing in CA or NV is required, with a strong background in claims management and ongoing professional development opportunities. Work arrangements offer remote flexibility while maintaining high service standards.