Claims Representative role in training for workers' compensation at Sedgwick. Involves investigation and resolution of claims with ongoing professional development.
About the role
- Claims Examiner analyzing complex workers' compensation claims for Sedgwick, a global risk and claims administration leader. Ensuring claims adjudication meets service expectations and client requirements.
Responsibilities
- To analyze complex or technically difficult workers' compensation claims to determine benefits due.
- To work with high exposure claims involving litigation and rehabilitation.
- To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
- To 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.
- SIP required or must be obtained within one (1) year of employment; California workers compensation jurisdictional knowledge required.
Benefits
- 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.
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Claims Examiner responsible for adjudicating workers' compensation claims for California clients. Analyzing claims, negotiating settlements, and ensuring compliance with client service requirements and industry standards.
Provide P&I and FD&D claims handling services for European Members. Work closely with claims team on complex disputes and resolutions.
Property Claims Representative managing a personal caseload of property claims at Hastings Insurance. Investigating and resolving claims while providing customer support.
STD Claims Examiner II making accurate claim decisions for Short Term Disability claims. Collaborating with team members in a hybrid work environment from South Portland, ME.
Claims Specialist managing high exposure casualty and specialty claims for Hamilton Select. Responsible for mentoring new adjusters and ensuring compliance with corporate guidelines.
LMI Claims Specialist assessing and managing complex LMI claims for QBE’s insurance team. Delivering high - quality outcomes while providing technical expertise and compliance oversight.
Workers Compensation Claims Representative managing claims independently with minimal oversight. Conducting thorough investigations and negotiating settlements for insured parties in a hybrid work environment.
Claims Specialist I handling auto and general liability claims at AIG. Investigating, evaluating, and resolving claims with a focus on customer service and timely resolution.
Aviation Claims Analyst IV responsible for handling aviation claims at AIG. Involves adjusting aircraft physical damage claims and managing stakeholders in the aerospace sector.