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Claims Examiner - Workers Compensation - Remote

Posted 11 weeks ago
Finance / Legal
Full Time
USA

Overview

The Claims Examiner for Workers Compensation will analyze and manage complex claims, ensuring timely resolution and compliance with industry standards while working in a supportive and growth-oriented environment.

In Short

  • Analyze complex workers' compensation claims.
  • Negotiate settlements within designated authority.
  • Calculate and assign reserves to claims.
  • Manage litigation processes for claims.
  • Communicate effectively with claimants and clients.
  • Utilize cost containment techniques.
  • Ensure compliance with state filings.
  • Support quality programs within the organization.
  • Work in a team environment.
  • Contribute to a diverse and inclusive workplace.

Requirements

  • Bachelor's degree preferred.
  • Five years of claims management experience required.
  • Expertise in insurance principles and laws.
  • Strong negotiation and analytical skills.
  • Excellent oral and written communication skills.
  • Proficient in Microsoft Office products.
  • Ability to work under pressure and meet deadlines.
  • Good interpersonal skills.
  • Organizational skills.
  • Ability to handle multiple priorities.

Benefits

  • Work-life balance.
  • Opportunity for career growth.
  • Supportive and caring company culture.
  • Recognition as a great workplace.
  • Diverse and inclusive work environment.

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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