Senior Workers' Compensation Claims Examiner

Sedgwick; United States; Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick is hiring a Loss Time Workers Compensation Claims Examiner to analyze and adjudicate claims for multiple jurisdictions. You will take ownership of claim development, apply examiners’ knowledge, and drive timely resolutions in a dynamic, supportive environment.

Ideal candidates bring 5 years of claims management experience, strong negotiation skills, and a commitment to client service. A flexible benefits package complements a stable, growth-oriented culture.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• Experience: 5 years of claims management experience or equivalent.
• Licensing: VT, CT, NH, RI; Jurisdiction knowledge: MA, CT, NH, RI, VT.

Responsibilities

• Analyze and process Lost-Time Workers Compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to the excess carrier and respond to directions professionally.

Skills

Claims adjudication

Negotiation

Client communication

Collaboration

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is hiring a Loss Time Workers Compensation Claims Examiner to analyze and adjudicate claims for multiple jurisdictions. You will take ownership of claim development, apply examiners’ knowledge, and drive timely resolutions in a dynamic, supportive environment.

Ideal candidates bring 5 years of claims management experience, strong negotiation skills, and a commitment to client service. A flexible benefits package complements a stable, growth-oriented culture.