Senior Workers' Compensation Claims Examiner - Flexible

eBSI Export Academy; United States; Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional增长

Comprehensive benefits including med/d

401K on day one

Job summary

Sedgwick is seeking a Workers Compensation Claims Examiner to analyze Lost-Time workers' compensation claims for multiple clients. The role involves adjudicating benefits due, coordinating with claimants and clients, and ensuring service expectations are met.

You’ll operate in a fast-paced environment with a focus on accuracy and timely resolutions. Ideal candidates will have 5 years of claims management experience, heavy litigation experience, and jurisdiction knowledge across DE, IL, LA, MO,

Qualifications

• Education & licensing: High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification relevant to line of business preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Heavy Litigation – experience required.
• Jurisdiction Knowledge: DE, IL, LA, MO, NJ, OK, TN, TX.
• Licensing: Home state plus DE, LA, OK, TX.

Responsibilities

• Analyzing and processing claims through action plans to resolution.
• Negotiating settlement of claims 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

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Workers Compensation Claims Examiner to analyze Lost-Time workers' compensation claims for multiple clients. The role involves adjudicating benefits due, coordinating with claimants and clients, and ensuring service expectations are met.

You’ll operate in a fast-paced environment with a focus on accuracy and timely resolutions. Ideal candidates will have 5 years of claims management experience, heavy litigation experience, and jurisdiction knowledge across DE, IL, LA, MO,