Claims Examiner - Workers Compensation | Jurisdiction: NV| Licensing: NV Required (Hybrid)

Sedgwick•Las Vegas, NV

3d•Hybrid

About The Position

The Claims Examiner analyzes Workers Compensation claims on behalf of clients to determine benefits due, while ensuring claims are adjudicated within service expectations, industry best practices, and client-specific service requirements. The role investigates claims, gathers information to assess exposure, develops action plans toward timely resolution, negotiates settlements within designated authority, communicates claim activity to claimants and clients, and reports claims to excess carriers while responding to their requests for direction. The position requires Nevada licensing and Nevada jurisdiction knowledge. It is described as hybrid. Sedgwick highlights flexibility, professional development, career growth, and comprehensive benefits.

Requirements

High school diploma or GED required.
Five years of claims management experience, or an equivalent combination of education and experience, required.
Nevada licensing required.
Knowledge of the Nevada jurisdiction required.

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 well-developed action plans to reach appropriate and timely resolutions.
Investigate claims and gather 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 direction professionally and promptly.