Claims Examiner L Workers Compensation L Jurisdiction Il L Remote Il

SEDGWICK

Illinois, US
Base: $65,000 - $85,000; bonus/equity: not specifi...
Fully remote
Analyze complex workers' compensation claims
Determine benefits due
Manage high exposure claims
Sedgwick is seeking a remote Claims Examiner for Workers Compensation in Illinois, responsible for analyzing complex claims and ensuring timely resolutions while upholding service expectations. The role emphasizes a caring culture, professional development opportunities, and a flexible work environment

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.
  • Negotiates settlement of claims within designated authority, calculates and assigns timely and appropriate reserves, and approves and makes timely claim payments and adjustments.
  • Offers a flexible work schedule, referral incentive program, opportunity to work from home, career development, and a diverse and comprehensive benefits offering.

Matching Summary

Match Score: 85

Sedgwick is seeking a remote Claims Examiner for Workers Compensation in Illinois, responsible for analyzing complex claims and ensuring timely resolutions while upholding service expectations. The role emphasizes a caring culture, professional development opportunities, and a flexible work environment.

Salary

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

Skills & Requirements

Must-have

  • Analyze complex workers' compensation claims
  • Determine benefits due
  • Manage high exposure claims
  • Negotiate settlements
  • Identify subrogation opportunities

Nice-to-have

  • Embody caring counts model
  • Empathy, accountability, collaboration, growth, inclusion

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