Claims Examiner - Workers' Compensation - Remote

Overview

As a Claims Examiner at Sedgwick, you will analyze complex workers' compensation claims, negotiate settlements, and ensure timely resolutions while maintaining professional relationships with clients.

In Short

• Analyze and process complex workers' compensation claims.
• Negotiate settlements within designated authority.
• Manage claims through action plans to resolution.
• Calculate and assign reserves to claims.
• Prepare necessary state filings within statutory limits.
• Manage litigation processes for timely claims resolution.
• Communicate effectively with claimants and clients.
• Ensure proper documentation of claim files.
• Support the organization's quality programs.
• Work in a team environment and meet service expectations.

Requirements

• Bachelor's degree preferred.
• Five years of claims management experience required.
• Subject matter expert in insurance principles and laws.
• Excellent oral and written communication skills.
• Strong analytical and interpretive skills.
• Proficient in Microsoft Office.
• Excellent negotiation and organizational skills.
• Ability to handle multiple priorities and meet deadlines.

Benefits

• Opportunity to grow your career.
• Supportive and caring work culture.
• Work-life balance.
• Diversity and inclusion initiatives.
• Access to advanced technology in claims administration.