Claims Examiner – Workers Compensation, Southeast Jurisdictions
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Remote • Alabama, Florida, Mississippi, North Carolina, South Carolina, Tennessee • 🇺🇸 United States
Visit company websiteSalary
💰 $61,857 - $86,600 per year
Job Level
Mid-LevelSenior
About the role
- To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due.
- Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution.
- 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.
Requirements
- 5+ years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Licensing / Jurisdiction Knowledge: GA, FL, NC, SC, AL, MS, TN
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementadjudicationclaims processingnegotiationinvestigationreporting
Soft skills
communicationanalytical thinkingproblem-solvingtime management
Certifications
professional certification