Claims Examiner Workers Compensation I NE jurisdictions I Remote
United States · Remote Solely
$60k–$85k/yr
Senior$1.5B raised
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 invite you to grow your career with us, experi…
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 invite you to grow your career with us, experi…
Claims Examiner - Liability | Auto, GL Non Lit and Lit BIJurisdiction: All states | Licensing: Home State Preferred
Marlton, New Jersey, United States · Remote OK
$80k–$90k/yr
Senior$1.5B raised
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 invite you to grow your career with us, experi…
Skills: Claims Adjudication, Liability Claims Management, Auto Insurance Claims, General Liability Claims, Bodily Injury Litigation
Claims Examiner Workers Compensation I SE jurisdictions I Remote
United States · Remote Solely
$60k–$80k/yr
Senior$1.5B raised
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 invite you to grow your career with us, experi…
Charleston, South Carolina, United States · On-site
Senior$1.5B raised
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 invite you to grow your career with us, experi…
Skills: Cargo Inspection, Damage Assessment, Technical Reporting, Microsoft Office, Customer Service
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 invite you to grow your career with us, experi…
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 invite you to grow your career with us, experi…
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 invite you to grow your career with us, experi…
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 invite you to grow your career with us, experi…
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 invite you to grow your career with us, experi…
Skills: Claims Management, Subrogation, Fraud Evaluation, Case Management, Legal Knowledge
Manager Opérationnel de Région – Equipe d’Experts Construction (H/F)
Tours, Centre-Val de Loire, France · On-site
Senior$1.5B raised
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 invite you to grow your career with us, experi…
Skills: Regional Management, Construction Expertise, Profit Center Management, Business Partnership Development, Customer Quality Management
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 invite you to grow your career with us, experi…
The 'Apply with SEEK option' will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option. IF YOU CARE, THERE’S A PLACE FOR YOU HERE EFI Global is a full-se…
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 invite you to grow your career with us, experi…
Skills: Customer Service, Critical Thinking, Oral Communication, Written Communication, Microsoft Office
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 invite you to grow your career with us, experi…
Skills: Water Mitigation Review, Estimate Adjusting, Vendor Negotiation, Analytical Skills, Customer Service
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 invite you to grow your career with us, experi…
Skills: Return-to-Work Negotiation, Job Accommodation, Claims Management, Oral Communication, Written Communication
St. David's, St. George's, Bermuda · Remote Solely
Senior$1.5B raised
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 invite you to grow your career with us, experi…
Claims Representative - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal preferred
Chicago, Illinois, United States · On-site
$55k–$75k/yr
Mid level$1.5B raised
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 invite you to grow your career with us, experi…
Skills: Claims Adjudication, General Liability, Product Liability, Subrogation, Settlement Negotiation
Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,
Long Beach, California, United States · Hybrid
$105k–$115k/yr
Senior$1.5B raised
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 invite you to grow your career with us, experi…
Claims Team Lead I Workers Compensation I NV experience required
Nevada, United States · Remote Solely
Senior$1.5B raised
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 invite you to grow your career with us, experi…
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$60k–$85k/yr
Full-time
high school, bachelor degree, professional certificate
Medical Insurance, Dental Insurance, Vision Insurance, 401k, 401k Matching, Paid Time Off
Posted 2d ago
~40 hrs/week
Remote in United States
Responsibilities
Analyze and process complex workers compensation claims to determine benefits due and ensure timely resolution. This includes negotiating settlements and communicating claim activity to claimants, clients, and excess carriers.
Requirements
Requires a high school diploma and at least 5 years of claims management experience, with a bachelor's degree preferred. Candidates must have knowledge of jurisdictions including MA, RI, VT, NH, and CT.
Full job 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 invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Examiner Workers Compensation I NE jurisdictions I Remote
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
Apply your workers compensation examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ARE YOU AN IDEAL CANDIDATE? 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.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
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.
QUALIFICATIONS
Education & Licensing: 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.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Work environment requirements include – Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $60,234 - $85,000/yr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Offices: 60 Fenchurch Street, London, England EC3M 4AD, GB · 5-6 Esplande Charles de Gaulle, Nanterre, FR
claims managementrisk managementworkers' compensationdisabilityabsence solutionsaffinityfirst and third party fleet programshealthcare risk managementretail and consumer care servicesintegrated services
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.
Offices: 60 Fenchurch Street, London, England EC3M 4AD, GB · 5-6 Esplande Charles de Gaulle, Nanterre, FR
claims managementrisk managementworkers' compensationdisabilityabsence solutionsaffinityfirst and third party fleet programshealthcare risk managementretail and consumer care servicesintegrated services