Remote Workers' Compensation Claims Examiner: Growth & Impact

Sedgwick; Michigan; Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Health benefits

401K on day one

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze complex claims, determine benefits, and work with high-exposure cases including litigation and rehabilitation. The role requires strong investigation and negotiation skills and a focus on timely adjudication.

Ideal candidates have multi-state licensing or home-state preference, with a Bachelor’s degree preferred and at least five years of claims experience. Hybrid work options and comprehensive benefits are provided.

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.

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

Analyzing claims

Negotiation

Communication

Multi-state licensing

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze complex claims, determine benefits, and work with high-exposure cases including litigation and rehabilitation. The role requires strong investigation and negotiation skills and a focus on timely adjudication.

Ideal candidates have multi-state licensing or home-state preference, with a Bachelor’s degree preferred and at least five years of claims experience. Hybrid work options and comprehensive benefits are provided.