Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RI
About The Position
The Workers Compensation Claims Examiner analyzes Workers Compensation Lost-Time claims on behalf of clients to determine benefits due and ensure claims are adjudicated within service expectations, industry best practices, and client service requirements. The role handles claims across CT, MA, NH, RI, and VT, with strong Vermont jurisdictional experience and Vermont licensing required. The examiner investigates claims, gathers information to assess exposure, develops action plans toward timely resolution, negotiates settlements within assigned authority, communicates claim activity to claimants and clients, and reports claims to excess carriers while responding to requests for direction. Sedgwick describes a flexible work schedule, career development opportunities, and a comprehensive benefits package.
Requirements
- High school diploma or GED required.
- At least 4 years of claims management experience, or an equivalent combination of education and experience.
- Knowledge of the CT, MA, NH, RI, and VT jurisdictions.
- Vermont licensing required.
- Ability to think clearly and conceptually and exercise judgment, troubleshooting, problem-solving, analytical skills, and discretion.
- Ability to handle work-related stress, manage multiple priorities, and meet deadlines.
- Computer keyboarding ability.
- Hearing, vision, and talking abilities.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certification applicable to the line of business.
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 settlements within designated authority.
- Communicate claim activity and processing with claimants and clients.
- Report claims to excess carriers and respond to requests for direction professionally and promptly.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision coverage.
- 401(k) and matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance.
- Flexible spending account or health savings account.
- Additional voluntary benefits.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
