Workers Compensation Claims Examiner | MA, ME,NH, RI, DE, VT Jurisdictions | License Required (Evergreen)

Sedgwick

1d•Remote

About The Position

By joining Sedgwick, you'll be part of a global industry leader known for its excellence and customer service, helping people around the world facing the unexpected. Sedgwick is recognized as America’s Greatest Workplaces and a Great Place to Work®. This role involves analyzing Workers Compensation Lost-Time claims on behalf of clients to determine benefits due, ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. The ideal candidate will apply their knowledge and experience to adjudicate complex customer claims, deliver innovative customer-facing solutions, and leverage Sedgwick’s broad global network of experts. The company offers professional development opportunities, flexibility, autonomy in daily work, location, and career path, and diverse and comprehensive benefits.

Requirements

3+ years of Lost-Time claims management experience or equivalent combination of education and experience
High School Diploma or GED required
Licensing required for MA, ME,NH, RI, DE, VT Jurisdictions

Nice To Haves

Bachelor's degree from an accredited college or university
Professional certification as applicable to line of business

Responsibilities

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim
Negotiating settlement of claims within designated authority
Communicating claim activity and processing with the claimant and the client
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner