Claims Examiner - Workers Compensation

About the role

Join Sedgwick, a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands. As a Claims Examiner - Workers Compensation, you’ll be part of a rapidly growing, industry-leading global company known for its excellence and customer service.

Responsibilities

• Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
• Manages claims through well-developed action plans to an appropriate and timely resolution.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process; ensures timely and cost-effective claims resolution.
• Leverages Sedgwick’s broad, global network of experts to both learn from and to share your insights.
• Takes advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoys flexibility and autonomy in your daily work, your location, and your career path.
• Accesses diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Five (5) years of claims management experience or equivalent combination of education and experience required.
• Licenses as required.
• Professional certifications as applicable to line of business preferred.