About The Position
The Claims Examiner analyzes Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing claim adjudication meets service expectations, industry best practices, and specific client service requirements. The role covers South Carolina and North Carolina jurisdictions and is dedicated to a client. Sedgwick describes its workplace as caring and offers flexibility and autonomy in daily work, location, and career path, along with professional development opportunities. The company seeks candidates who embody empathy, accountability, collaboration, growth, and inclusion.
Requirements
- High school diploma or GED required.
- Five years of claims management experience, or an equivalent combination of education and experience, required.
- Knowledge of South Carolina and North Carolina jurisdictions and licensing.
Nice To Haves
- Bachelor's degree from an accredited college or university preferred.
- Professional certification applicable to the line of business preferred.
Responsibilities
- Analyze and process claims using action plans to reach appropriate, timely resolutions, investigating and gathering information to determine claim exposure.
- Negotiate claim settlements within designated authority.
- Communicate claim activity and processing with claimants and clients.
- Report claims to the excess carrier and respond to requests for directions professionally and promptly.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision benefits.
- 401(k) available on day one.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
