Remote Workers' Compensation Claims Examiner — Flexible Growth

Sedgwick; Hartford (CT); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career growth

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation in a US telecommuting role. You will analyze complex claims, determine benefits, and negotiate settlements while coordinating with clients.

The position emphasizes accuracy, efficiency, and adherence to service expectations. Ideal candidates have at least five years in claims management, jurisdiction knowledge, and a commitment to exceptional customer service.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• Proficiency in analyzing and adjudicating workers' compensation claims.
• Licensing knowledge in relevant jurisdictions preferred.

Responsibilities

• Analyze and process workers' compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity and updates to claimants and clients.
• Report claims to excess carriers and respond to directions professionally.

Skills

claims management

analytical thinking

communication

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation in a US telecommuting role. You will analyze complex claims, determine benefits, and negotiate settlements while coordinating with clients.

The position emphasizes accuracy, efficiency, and adherence to service expectations. Ideal candidates have at least five years in claims management, jurisdiction knowledge, and a commitment to exceptional customer service.