Workers' Comp Claims Examiner I – TX (Flexible Schedule)

Sedgwick Claims Management Services; United States; Remote; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and promotional成长

Job summary

Sedgwick Claims Management Services is seeking driven individuals to analyze workers compensation claims and determine benefits due, while maintaining adjudication within service expectations and client requirements.

The ideal candidate has at least five years of claims management experience, a high school diploma or GED, and may hold a Texas license. The role offers flexible schedule and a broad benefits package.]

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• 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.

Responsibilities

• 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.

Skills

Claims management experience

Analytical thinking

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Texas License

Job description

Sedgwick Claims Management Services is seeking driven individuals to analyze workers compensation claims and determine benefits due, while maintaining adjudication within service expectations and client requirements.

The ideal candidate has at least five years of claims management experience, a high school diploma or GED, and may hold a Texas license. The role offers flexible schedule and a broad benefits package.]