Remote Workers' Compensation Claims Specialist

Sedgwick; Salem (OR); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

401K on day one

Job summary

Sedgwick is seeking a Claims Examiner to analyze workers' compensation claims for clients and adjudicate benefits with precision and consistency. The role emphasizes timely investigation, exposure assessment, and clear communications with claimants and clients.

Ideal candidates will have a strong background in claims management as well as home-state licensure. This remote position offers flexible scheduling and a comprehensive benefits package, aligning with Sedgwick's people-first culture.

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: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: Home state license required, Main states: AL, FL, GA, NC,SC,TN

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

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Claims Examiner to analyze workers' compensation claims for clients and adjudicate benefits with precision and consistency. The role emphasizes timely investigation, exposure assessment, and clear communications with claimants and clients.

Ideal candidates will have a strong background in claims management as well as home-state licensure. This remote position offers flexible scheduling and a comprehensive benefits package, aligning with Sedgwick's people-first culture.