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Claims Examiner – Workers Compensation
SedgwickClaims Examiner managing Workers Compensation claims on behalf of valued clients. Analyzing claims to ensure timely resolution while upholding industry best practices and service expectations.
About the role
Key responsibilities & impact- Analyze Workers Compensation claims on behalf of our valued clients to determine benefits due.
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
- Investigate and gather information to determine the exposure on the claim.
- Negotiate settlement of claims within designated authority.
- Communicate claim activity and processing with the claimant and the client.
- Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.
Requirements
What you’ll need- 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.
- TX Jurisdiction Knowledge: TX.
Benefits
Comp & perks- 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.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementadjudicationnegotiationinvestigationreporting
Soft Skills
communicationprofessionalism
Certifications
professional certification