Senior Workers' Comp Claims Examiner

Sedgwick; Springfield (IL); Remoto; USD 70.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

Flexible work schedule

Referral incentive program

Career development and promotions

Comprehensive benefits: medical,Dental

401K on day one

Descrizione del lavoro

Sedgwick is seeking a Lost-Time Workers Compensation Claims Examiner to analyze claims for our clients and determine benefits due while ensuring adjudication within service expectations and client requirements. The role leverages a broad network and offers development opportunities and a flexible benefits package.

Ideal candidates will have 5 years of claims management experience, heavy litigation exposure, and licensing including home state plus DE/LA/OK/TX, with a strong focus on accuracy and

Competenze

• 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.

Mansioni

• 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.

Formazione

High School Diploma or GED

Bachelor's degree

Professional certification

Descrizione del lavoro

Sedgwick is seeking a Lost-Time Workers Compensation Claims Examiner to analyze claims for our clients and determine benefits due while ensuring adjudication within service expectations and client requirements. The role leverages a broad network and offers development opportunities and a flexible benefits package.

Ideal candidates will have 5 years of claims management experience, heavy litigation exposure, and licensing including home state plus DE/LA/OK/TX, with a strong focus on accuracy and