Workers Compensation Claims Examiner | Reno, NV

Sedgwick Claims Management Services Ltd; Las Vegas (NV); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Medical, dental, vision

401k matching

PTO

Flexible spending account

Job summary

Sedigwick is seeking a Workers' Compensation Claims Examiner in Reno, NV. This remote-designated role will transition to a hybrid schedule as you relocate or commute to the Reno office.

You will analyze and adjudicate complex workers' compensation claims, apply best practices, and deliver client-focused outcomes. Ideal candidates have a background in claims management, strong analytical and negotiation skills, and the ability to coordinate with claimants, clients, and carriers to resolve matters

Qualifications

• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Must be licensed in California or Nevada (Licensing/Jurisdiction Knowledge).

Responsibilities

• Analyzing and processing claims through well-developed action plans to determine exposure and resolution.
• 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 directions in a professional and timely manner.

Skills

Analyzing claims

Negotiation

Communication with clients

Reporting to carriers

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceWorkers Compensation Claims Examiner | Reno, NVJob DescriptionAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.Enjoy flexibility and autonomy in your daily work, your location, and your career path.Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.WORK LOCATION This position is currently designated as remote . However, candidates must reside within a reasonable commuting distance of, or be willing to relocate to Reno, NV . The successful candidate will be expected to transition to a hybrid work schedule and report to our Reno, NV office.PRIMARY PURPOSE OF THE ROLE To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements .ESSENTIAL RESPONSIBLITIES MAY INCLUDEAnalyzing 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.QUALIFICATIONSEducation & Licensing: 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.Experience: 5 years of claims management experience or equivalent combination of education and experience required.Licensing / Jurisdiction Knowledge: Must be licensed in California or NevadaTAKING CARE OF YOUFlexible work schedule.Referral incentive program.Career development and promotional growth opportunities.A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.WORK ENVIRONMENT REQUIREMENTS INCLUDEWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Computer keyboardingAuditory/Visual: Hearing, vision and talkingAs required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (80k-100k). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.#claimsexaminer #claimsQualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.