Claims Examiner - Workers Compensation

Sedgwick

Southfield, MI, United States
**
Workers' compensation claims management
Investigate and gather information
Action plans for timely resolution
** Sedgwick is seeking a Claims Examiner for Workers' Compensation in Southfield, MI. The ideal candidate will analyze complex claims, negotiate settlements, and ensure compliance with industry best practices while working within a caring and collaborative company culture. **

Job Summary

  • Join Sedgwick and grow your career in a caring culture with work-life balance, where there's no limit to what you can achieve.
  • Analyze and process complex workers' compensation claims, determining benefits due, managing high exposure claims, and ensuring timely resolution.
  • Communicate claim activity and processing with claimants and clients, maintaining professional relationships and ensuring proper file documentation.

Matching Summary

Match Score: 75

** Sedgwick is seeking a Claims Examiner for Workers' Compensation in Southfield, MI. The ideal candidate will analyze complex claims, negotiate settlements, and ensure compliance with industry best practices while working within a caring and collaborative company culture. **

Skills & Requirements

Must-have

  • workers' compensation claims management
  • investigate and gather information
  • action plans for timely resolution
  • negotiate settlement within authority
  • calculate and assign reserves
  • approve and make claim payments
  • prepare state filings
  • manage litigation process
  • cost containment techniques
  • manage claim recoveries
  • report claims to excess carrier
  • communicate claim activity with claimant and client
  • maintain professional client relationships
  • ensure claim files are properly documented

Nice-to-have

  • caring culture
  • work-life balance
  • collaborate onsite
  • hybrid work arrangement
  • support quality programs

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter