Remote Workers' Compensation Claims Examiner I

Sedgwick; Montpelier (VT); Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package including medical, d

401K on day one

Job summary

Sedgwick is seeking an experienced California workers' compensation examiner for a remote role. You will analyze complex claims, adjudicate benefits, and collaborate with clients to meet service expectations across a broad client base.

Ideal candidates bring prior claims management experience, strong negotiation and communication skills, and a commitment to Sedgwick's values. Flexible scheduling and a comprehensive benefits package are offered.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• 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

claims management

negotiation

communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable to line of business preferred

Job description

Sedgwick is seeking an experienced California workers' compensation examiner for a remote role. You will analyze complex claims, adjudicate benefits, and collaborate with clients to meet service expectations across a broad client base.

Ideal candidates bring prior claims management experience, strong negotiation and communication skills, and a commitment to Sedgwick's values. Flexible scheduling and a comprehensive benefits package are offered.