Workers' Comp Claims Examiner - Flexible Schedule & Growth

Sedgwick Claims Management Services Ltd; Michigan; Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision care

401K plan

Paid time off

Disability insurance

Life insurance

Employee assistance

Flexible spending

Health savings account

Other benefits

Job summary

Sedgwick Claims Management Services Ltd in Michigan is seeking a Claims Examiner - Workers Compensation to analyze benefits due and adjudicate claims within client service standards.

You will investigate information, determine exposure, negotiate settlements within authority, and keep clients informed of claim activity. A strong background in claims handling and regulatory familiarity is expected, with a commitment to accuracy and timely decisions.

Qualifications

• Education: High School Diploma or GED required; bachelor's degree preferred.
• Experience: 5 years of claims management experience.
• Licensing: MI or MN licensing required.

Responsibilities

• Analyze and process workers' comp claims to determine benefits.
• Negotiate settlement within designated authority.
• Communicate claim activity to claimants and clients.
• Report claims to the excess carrier and respond to directions.

Skills

Claims analysis

Negotiation

Communication

Reporting

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick Claims Management Services Ltd in Michigan is seeking a Claims Examiner - Workers Compensation to analyze benefits due and adjudicate claims within client service standards.

You will investigate information, determine exposure, negotiate settlements within authority, and keep clients informed of claim activity. A strong background in claims handling and regulatory familiarity is expected, with a commitment to accuracy and timely decisions.