Claims Examiner L Workers Compensation L Jurisdiction Il L Remote Il

Sedgwick Australia Pty Ltd

Illinois, US
Base: $65,000 - $85,000; bonus/equity: not specifi...
Fully remote
Analyze complex workers' compensation claims
Negotiate claim settlements
Manage litigation process
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements

Job Summary

  • To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • 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.

Matching Summary

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

Salary

Base: $65,000 - $85,000; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package offered

Skills & Requirements

Must-have

  • Analyze complex workers' compensation claims
  • Negotiate claim settlements
  • Manage litigation process
  • Identify subrogation opportunities

Nice-to-have

  • Embody caring counts model
  • Empathy, accountability, collaboration, growth, inclusion
  • Professional development opportunities
  • Flexibility and autonomy

Key Requirements

  • Five (5) years of claims management experience
  • Bachelor's degree preferred
  • Professional certification preferred
  • Jurisdiction Knowledge: IL

Work Rights

Not specified

Tailored Resume

Cover Letter