Claims Examiner - Workers' Compensation | Dedicated Client | Jurisdiction: Midwest States | Licensing: MI preferred - Hybrid

About the role

Join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands. 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.

Primary purpose of the role

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 responsibilities 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

• 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
• 5 years of claims management experience or equivalent combination of education and experience required
• MI preferred or home state reciprocal
• Jurisdiction knowledge: Midwest states

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

Pay

For the jurisdiction noted in this job posting only, the range of starting pay for this role is $70,000–$85,000. 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.