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Claims Examiner with FELA Experience - Remote

Posted 6 days ago
All others
Full Time
PA, USA

Overview

Join Sedgwick as a Claims Examiner and leverage your expertise to adjudicate complex customer claims while contributing to a caring culture and enjoying work-life balance.

In Short

  • Analyze and process complex workers' compensation claims.
  • Negotiate settlements and manage claims within service expectations.
  • Calculate and assign reserves to claims.
  • Prepare necessary state filings within statutory limits.
  • Coordinate vendor referrals for investigations and litigation management.
  • Utilize cost containment techniques to reduce claims costs.
  • Manage claim recoveries and subrogation processes.
  • Flexible work schedule and career development opportunities.
  • Comprehensive benefits package including medical and 401K.
  • Opportunity to work in a diverse and inclusive environment.

Requirements

  • Bachelor's degree preferred.
  • Five years of claims management experience required.
  • Professional certification preferred.
  • Strong negotiation and customer service skills.
  • Ability to manage litigation processes effectively.
  • Experience with subrogation and claims recovery.
  • Knowledge of workers' compensation regulations.
  • Empathy, accountability, and collaboration skills.
  • Willingness to learn and grow within the company.
  • Commitment to diversity and inclusion in the workplace.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • Diverse and comprehensive benefits offering.
  • Medical, dental, and vision coverage from day one.
  • 401K plan available.
  • Supportive and inclusive work environment.
  • Opportunity to work with a global leader in risk management.
  • Access to advanced AI-enabled technology.
  • Commitment to employee well-being and work-life balance.

S.C.M.S

Sedgwick Claims Management Services

Sedgwick Claims Management Services Inc. is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. With a commitment to caring for people, Sedgwick prioritizes the well-being of its colleagues and clients, fostering a culture of support, flexibility, and inclusivity. The company employs over 30,000 professionals across 80 countries, who work diligently to help organizations manage claims, protect their brands, and minimize business interruptions. Sedgwick is dedicated to making a positive impact through its services, emphasizing the importance of diversity and the unique contributions of each individual within the organization.

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