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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