Claims Examiner - Workers Comp (remote) I Northeast Jurisdictions

Sedgwick Australia Pty Ltd

Northeast Jurisdictions, US
Base: $60,234 - $90,000pyr; bonus/equity: not spec...
Fully remote
Workers compensation claims analysis
Claim investigation and exposure determination
Settlement negotiation within authority
The role involves analyzing workers compensation claims to determine benefits due while ensuring ongoing adjudication within industry best practices

Job Summary

  • The role involves analyzing workers compensation claims to determine benefits due while ensuring ongoing adjudication within industry best practices.
  • Candidates will negotiate settlements within designated authority and communicate claim activity professionally with both claimants and clients.
  • Sedgwick offers a comprehensive benefits package including medical, dental, vision, 401k on day one, and flexible work schedules.

Matching Summary

The role involves analyzing workers compensation claims to determine benefits due while ensuring ongoing adjudication within industry best practices.

Salary

Base: $60,234 - $90,000/yr; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, 401k matching, PTO, disability, life insurance

Skills & Requirements

Must-have

  • Workers compensation claims analysis
  • Claim investigation and exposure determination
  • Settlement negotiation within authority
  • Communication with claimants and clients
  • Reporting to excess carriers

Nice-to-have

  • Empathy and caring culture values
  • Innovative customer-facing solutions
  • Professional development opportunities
  • Flexible work schedule autonomy
  • Global network collaboration

Key Requirements

  • 5 years of claims management experience
  • High School Diploma or GED required
  • Bachelor's degree preferred
  • Knowledge of NH, VT, MA, CT, RI, DC, DE, WV, VA jurisdictions
  • Professional certification preferred

Work Rights

Not specified

Tailored Resume

Cover Letter