Jobs · Finance

Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: WA (Hybrid - Portland, OR)

Sedgwick · Portland, OR · 3 wk ago
RemoteRemoteFinanceFull-time

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.

About the Role

Apply your Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Enjoy flexibility and autonomy in your daily work, your location, and your career path. This role is hybrid with a work schedule of 2 days in the office and 3 days working from home (Portland, OR). Jurisdiction and licensing: WA.

Responsibilities

  • Analyze and process workers compensation claims through well-developed action plans to achieve appropriate and timely resolution by investigating and gathering information to determine exposure.
  • Negotiate settlement of claims within designated authority.
  • Communicate claim activity and processing with the claimant and the client.
  • Report claims to the excess carrier and respond to requests for directions in a professional and timely manner.

Requirements

  • High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
  • 5 years of claims management experience or equivalent combination of education and experience required.
  • Professional certification as applicable to line of business preferred.
  • WA licensing and jurisdiction knowledge.

Skills

  • Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, and analysis.
  • Ability to handle work-related stress and multiple priorities simultaneously while meeting deadlines.
  • Computer keyboarding; travel as required.
  • Strong auditory, visual, and verbal communication skills.

Benefits

  • Flexible work schedule (hybrid: 2 days in office, 3 days remote).
  • Referral incentive program.
  • Agile work environment.
  • Career development and promotional growth opportunities.
  • Comprehensive benefits offering including medical, dental, vision, and 401K (available on day one).

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