Claims Examiner L Workers Compensation L Portland, Or - Hybrid

Sedgwick Australia Pty Ltd

Portland, Oregon, USA
Base: $67,000 - $90,000; bonus/equity: not specifi...
Hybrid
Workers compensation claims analysis
Negotiate claim settlements
Manage litigation process
Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations

Job Summary

  • Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations.
  • Negotiate settlement of claims within designated authority, calculate and assign timely and appropriate reserves, and approve and make timely claim payments and adjustments.
  • Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights and take advantage of a variety of professional development opportunities.

Matching Summary

Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations.

Salary

Base: $67,000 - $90,000; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package offered

Skills & Requirements

Must-have

  • Workers Compensation claims analysis
  • Negotiate claim settlements
  • Manage litigation process
  • Cost containment techniques
  • Subrogation and recoveries

Nice-to-have

  • Empathy, accountability, collaboration
  • Caring culture and work-life balance
  • Professional development opportunities

Key Requirements

  • Five (5) years of claims management experience
  • Bachelor's degree preferred
  • Oregon licensing/jurisdiction knowledge

Work Rights

Not specified

Tailored Resume

Cover Letter