Workers' Comp Claims Examiner | Flexible Growth Path

Sedgwick Claims Management Services Ltd; Chicago (IL, MO); On-site; USD 70,000 - 85,000; Full time

Benefits offered by this job

Benefits package

401k match

PTO

Disability insurance

Life insurance

Employee assistance

HSA/FSA

Referral program

Job summary

Sedgwick Claims Management Services Ltd seeks a detail-oriented claims examiner to analyze complex workers' compensation claims, determine benefits due, and coordinate settlements. You will handle high exposure claims involving litigation and rehabilitation while ensuring accurate adjudication in line with client requirements.

The ideal candidate embraces empathy, accountability, collaboration, growth, and inclusion, and will help maintain strong client relationships and compliant claim files

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• Bachelor's degree preferred; HS diploma or GED required.
• Professional certification relevant to the line of business recommended.

Responsibilities

• Analyze complex or technically difficult workers' compensation claims to determine benefits due.
• Work with high exposure claims involving litigation and rehabilitation.
• Identify subrogation of claims and negotiate settlements.
• Process claim actions, coordinate return-to-work efforts and approve payments.
• Maintain accurate claim documentation and client communications.

Skills

Claims management

Analytical thinking

Communication

Problem solving

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick Claims Management Services Ltd seeks a detail-oriented claims examiner to analyze complex workers' compensation claims, determine benefits due, and coordinate settlements. You will handle high exposure claims involving litigation and rehabilitation while ensuring accurate adjudication in line with client requirements.

The ideal candidate embraces empathy, accountability, collaboration, growth, and inclusion, and will help maintain strong client relationships and compliant claim files