Claims Examiner - Workers Compensation | Jurisdiction: OR | Licensing: OR Cert preferred - Remote
About The Position
Sedgwick is hiring a remote Claims Examiner - Workers Compensation to analyze workers compensation claims on behalf of clients, determine benefits due, and ensure claims are adjudicated according to service expectations, industry best practices, and client requirements. The role involves handling complex claims and working with claimants, clients, and excess carriers. The posting describes the jurisdiction as Oregon, while its repeated title line also lists Washington and Oregon; Oregon certification is preferred. The role offers flexibility and autonomy, an agile work environment, and opportunities for career development and promotional growth. Sedgwick describes its culture as centered on 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 the Oregon jurisdiction.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certification applicable to the line of business.
- Oregon certification is preferred.
Responsibilities
- Analyze and process claims through action plans to reach an appropriate and timely resolution.
- Investigate 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 professionally and promptly to requests for directions.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching, available on day one.
- Paid time off (PTO).
- Disability and life insurance.
- Employee assistance program.
- Flexible spending account or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
