Workers Compensation Claims Examiner - Remote

Overview

As a Workers Compensation Claims Examiner at Sedgwick, you will analyze complex claims to determine benefits due, ensuring ongoing adjudication within service expectations and best practices.

In Short

• Analyze complex workers' compensation claims.
• Negotiate settlements within designated authority.
• Calculate and assign reserves to claims.
• Manage litigation processes for claims.
• Communicate with claimants and clients professionally.
• Ensure claims files are properly documented.
• Support the organization's quality programs.
• Work in a flexible, remote-friendly environment.
• Access diverse professional development opportunities.
• Join a company recognized for its workplace culture.

Requirements

• Bachelor's degree preferred.
• Five years of claims management experience required.
• Professional certification is a plus.
• Strong negotiation and communication skills.
• Ability to manage complex claims processes.
• Understanding of risk management principles.
• Experience with customer service in claims context.
• Proficiency in claims documentation and coding.
• Willingness to travel as required.
• Empathy and accountability in work approach.

Benefits

• Comprehensive benefits package including medical, dental, and vision.
• 401k and matching contributions.
• Paid time off and disability insurance.
• Employee assistance programs.
• Flexible spending or health savings accounts.
• Opportunities for professional growth.
• Supportive and inclusive workplace culture.
• Access to advanced AI-enabled technology.
• Recognition as a top workplace in financial services.
• Equal opportunity employer commitment.