Workers Compensation Claims Examiner | Reno, NV
About The Position
The Workers Compensation Claims Examiner analyzes workers compensation claims on behalf of clients to determine benefits due and ensure claims are adjudicated according to service expectations, industry best practices, and client requirements. The role investigates and gathers information to assess claim exposure, develops action plans for timely resolution, negotiates settlements within designated authority, communicates with claimants and clients, and handles excess-carrier reporting and requests. The position is currently designated as remote, but candidates must live within a reasonable commuting distance of Reno, Nevada, or be willing to relocate there. The successful candidate will transition to a hybrid schedule and report to the Reno office. Sedgwick describes its culture as caring and emphasizes empathy, accountability, collaboration, growth, and inclusion. It offers professional development, career growth, flexibility, and a range of benefits.
Requirements
- High school diploma or GED required.
- Five years of claims management experience, or an equivalent combination of education and experience, required.
- Must be licensed in California or Nevada.
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 professionally and promptly to requests for direction.
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 (PTO).
- Disability and life insurance.
- Employee assistance program.
- Flexible spending 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
