Claims Examiner – Workers Compensation, MT Preferred

Sedgwick

Claims Examiner handling mid- to high-level workers compensation claims. Analyzing claims to determine benefits and negotiating settlements while ensuring adherence to company standards.

Posted 7/28/2026full-timeRemote • Montana • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and managing workers compensation claims, ensuring compliance with industry standards and effective negotiation of settlements. Proficient in communication and reporting processes to facilitate timely resolutions.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsClaims AdjudicationSubrogation IdentificationLicensing Knowledge: MT

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisSettlement NegotiationAction Plan DevelopmentInformation GatheringClaims Processing

Soft Skills

Effective CommunicationProfessionalismTimely Response

Certifications & Qualifications

Professional Certification

Industry Keywords

Workers CompensationAdjudication StandardsBest PracticesExcess Carrier Reporting

About the role

Key responsibilities & impact

To analyze mid- and higher-level workers compensation claims to determine benefits due.
Ensure ongoing adjudication of claims within company standards and industry best practices.
Identify subrogation of claims and negotiate settlements.
Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information.
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

What you’ll need

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.
4 years of claims management experience or equivalent combination of education and experience required.
Licensing / Jurisdiction Knowledge: MT

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.