Claims Examiner – Workers Comp
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: Utah • United States
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Salary
💰 $85,000 - $95,000 per year
About the role
- Analyze complex or technically difficult workers' compensation claims to determine benefits due
- Work with high exposure claims involving litigation and rehabilitation
- Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements
- Identify subrogation of claims and negotiate settlements
- Communicate claim activity and processing with the claimant and the client; maintains professional client relationships
Requirements
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Jurisdiction licensing needed, NH, VT, MA, CT, RI, DC, DE, WV, VA
- Five (5) years of claims management experience or equivalent combination of education and experience required.
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementadjudicationnegotiationsubrogationlitigation analysisrehabilitation claims analysis
Soft Skills
communicationrelationship management
Certifications
professional certification