Remote Workers' Compensation Claims Specialist

Sedgwick Claims Management Services Ltd; United States; Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick Claims Management Services Ltd. is seeking a qualified Claims Examiner to analyze Medical Only and Lost-Time workers' compensation claims for our clients. You will determine benefits due and adjudicate claims within service expectations and client requirements.

The role requires 2+ years of claims management experience, strong negotiation skills, and the ability to communicate effectively with claimants and clients. A flexible work environment and comprehensive benefits are provided.

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor's degree preferred.
• Experience: 2+ years of claims management experience.
• Jurisdiction Knowledge: NJ, PA, VA, MA.

Responsibilities

• Analyzing and processing medical only & lost-time workers' compensation claims to determine benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions timely.

Skills

Claims management

Negotiation

Communication

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick Claims Management Services Ltd. is seeking a qualified Claims Examiner to analyze Medical Only and Lost-Time workers' compensation claims for our clients. You will determine benefits due and adjudicate claims within service expectations and client requirements.

The role requires 2+ years of claims management experience, strong negotiation skills, and the ability to communicate effectively with claimants and clients. A flexible work environment and comprehensive benefits are provided.