Hybrid Claims Examiner – Workers Compensation

Posted last month

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About the role

  • Claims Examiner for Sedgwick analyzing complex workers' compensation claims in a hybrid role. Collaborating with stakeholders while managing claims processing and settlement negotiations.

Responsibilities

  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
  • Manages claims through well-developed action plans to an appropriate and timely resolution.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims.
  • Manages the litigation process; ensures timely and cost-effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.

Requirements

  • Bachelor's degree from an accredited college or university preferred.
  • Licenses as required.
  • Professional certifications as applicable to line of business preferred.
  • Five (5) years of claims management experience or equivalent combination of education and experience required.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Job title

Claims Examiner – Workers Compensation

Job type

Experience level

Mid levelSenior

Salary

$66,574 - $90,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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