Remote Workers' Compensation Claims Examiner — Flexible

Sedgwick; Carson City (NV); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Medical, dental, vision + 401K

Job summary

Sedgwick is seeking a Claims Examiner - Workers’ Compensation to analyze claims for clients with remote flexibility. You will adjudicate complex WC claims, determine benefits due, and coordinate with claimants and clients.

The ideal candidate has 5 years of claims management experience, a HS diploma (Bachelor's preferred), and a Southeast state license. Sedgwick offers flexible schedules and a comprehensive benefits package.

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: Home state license required, Southeast States

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

WC claims knowledge

Claims adjudication

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers’ Compensation to analyze claims for clients with remote flexibility. You will adjudicate complex WC claims, determine benefits due, and coordinate with claimants and clients.

The ideal candidate has 5 years of claims management experience, a HS diploma (Bachelor's preferred), and a Southeast state license. Sedgwick offers flexible schedules and a comprehensive benefits package.