Remote Workers' Compensation Claims Examiner (GA)

Sedgwick; New York (NY); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Medical benefits

Dental & Vision

401K on day one

Referral incentive program

Job summary

Sedgwick is seeking a Workers' Compensation Claims Examiner with Georgia jurisdiction to adjudicate complex claims for top clients in a remote setting. You will analyze Lost-Time Georgia claims and determine benefits due while upholding service standards in a fast-paced environment.

Flexible schedule, professional development, and a comprehensive benefits package are offered, including medical, dental and 401(k) on day one.

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: 3 - 5 years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction Knowledge: GA required; additional multiple states preferred.
• Licensing: required - valid Worker’s Compensation license that is reciprocal with multiple jurisdictions.

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

Jurisdiction knowledge

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Workers' Compensation Claims Examiner with Georgia jurisdiction to adjudicate complex claims for top clients in a remote setting. You will analyze Lost-Time Georgia claims and determine benefits due while upholding service standards in a fast-paced environment.

Flexible schedule, professional development, and a comprehensive benefits package are offered, including medical, dental and 401(k) on day one.