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.
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