Remote Workers' Compensation Claims Examiner I

Sedgwick; Juneau (AK); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) on day one

Job summary

Sedgwick is seeking a remote Workers' Compensation Claims Examiner with New York license to analyze and adjudicate complex claims for diverse clients nationwide. You will leverage Sedgwick’s global network and caring culture to deliver accurate benefits determinations while maintaining exceptional client service.

Responsibilities include analyzing claims, negotiating settlements within authority, and communicating with claimants and clients, while reporting activity to carriers and meeting

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Licensing / Jurisdiction Knowledge: New York License

Responsibilities

• Analyzing and processing claims through action plans to resolution by investigating and gathering information to determine exposure.
• 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 professionally and timely.

Skills

Claims analysis

Negotiation

Communication

Attention to detail

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a remote Workers' Compensation Claims Examiner with New York license to analyze and adjudicate complex claims for diverse clients nationwide. You will leverage Sedgwick’s global network and caring culture to deliver accurate benefits determinations while maintaining exceptional client service.

Responsibilities include analyzing claims, negotiating settlements within authority, and communicating with claimants and clients, while reporting activity to carriers and meeting