[Remote] Claims Examiner - Workers Compensation | MD, VA, DC, DE exp needed)
Note: The job is a remote job and is open to candidates in USA. Sedgwick is a global industry leader recognized for its excellence and customer service, seeking a Claims Examiner specializing in Workers Compensation. The role involves analyzing and processing complex customer claims, negotiating settlements, and ensuring adherence to service expectations and best practices.
- Responsibilities
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim
- Negotiating settlement of claims within designated authority
- Communicating claim activity and processing with the claimant and the client
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner
- Skills
- Five (5) years of claims management experience or equivalent combination of education and experience required
- High School Diploma or GED required
- Licensing / Jurisdiction Knowledge: MD, VA, DC, DE
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Benefits
- Medical
- Dental
- Vision
- 401K on day one
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Company Overview
- Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. It was founded in 1969, and is headquartered in Memphis, Tennessee, USA, with a workforce of 10001+ employees. Its website is http://www.sedgwick.com.
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