Analyze reported lower - level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
About the role
- Claims Examiner analyzing complex workers' compensation claims at Sedgwick. Collaborating on high exposure claims to ensure benefits determination and negotiation of settlements.
Responsibilities
- To analyze complex or technically difficult workers' compensation claims to determine benefits due;
- To 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.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Five (5) years of claims management experience or equivalent combination of education and experience required.
Benefits
- Flexible Work Schedule
- Referral Incentive Program
- Opportunity to work from home
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
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Claims Examiner for Sedgwick adjudicating complex workers' compensation claims within service expectations. Join a company recognized for its caring culture and work - life balance.
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