Remote Workers Compensation Claims Examiner | VT Licensed

Sedgwick Claims Management Services Ltd; United States; On-site; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Flexible spending or health savings

PTO and life insurance

Employee assistance

Job summary

Sedgwick Claims Management Services Ltd is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for multiple clients. The role emphasizes adjudication within service expectations and adherence to client requirements.

The ideal candidate brings 4+ years of claims experience, VT licensing familiarity, and strong analytical skills. The position offers remote work flexibility and a comprehensive benefits package.

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: 4+ years of claims management experience or equivalent combination of education and experience required.

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

Analytical thinking

Discretion

Problem solving

Attention to detail

Stress management

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick Claims Management Services Ltd is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for multiple clients. The role emphasizes adjudication within service expectations and adherence to client requirements.

The ideal candidate brings 4+ years of claims experience, VT licensing familiarity, and strong analytical skills. The position offers remote work flexibility and a comprehensive benefits package.