Description
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
We're looking for a Claims Examiner - Workers Compensation to analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Responsibilities:
- Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering 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:
- High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
- 5 years of claims management experience or equivalent combination of education and experience required.
- Professional certification as applicable to line of business preferred.
- Licensing: Home state preferred
- Jurisdiction Knowledge: MD and NJ
Benefits:
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Work Environment Requirements:
- Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
- Physical: Computer keyboarding, travel as required.
- Auditory/Visual: Hearing, vision and talking.
The salary range for this role is $70,000 - $85,000 per year.