Claims Examiner Workers Compensation I Remote
location_onPNC Bank, 236, Main Street, Bay View Heights, Annapolis, Anne Arundel County, Maryland, 21411, United States
Job Description
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.
About the Role
As a Claims Examiner - Workers Compensation, you will analyze workers compensation claims on behalf of our valued clients to determine benefits due. Your role ensures the ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Work Environment
This is a remote position available anywhere in the United States. The role involves computer keyboarding and requires auditory/visual capabilities for hearing, vision, and talking. Success in this position demands clear and conceptual thinking ability, excellent judgement and discretion, and the ability to meet deadlines.
Taking Care of You
We offer a flexible work schedule and the opportunity to work in an agile environment. Our comprehensive benefits package includes medical, dental, vision, 401K on day one, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. We also provide a referral incentive program and career development opportunities for promotional growth.
Compensation
For the jurisdiction noted in this job posting only, the range of starting pay for this role is $63,404 - $85,000/yr. 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.
Equal Opportunity Employer
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
Work location
Work model: Remote
PNC Bank, 236, Main Street, Bay View Heights, Annapolis, Anne Arundel County, Maryland, 21411, United States
Annapolis, Maryland
Key Responsibilities
- check_circleAnalyze and process workers compensation claims to determine exposure and ensure timely resolution
- check_circleNegotiate settlement of claims within designated authority limits
- check_circleReport claims to excess carriers and respond to their requests professionally
- check_circleInvestigate and gather information to determine benefits due for claimants
- check_circleCommunicate claim activity and processing status with claimants and clients
Requirements
- verified5 years of claims management experience or equivalent combination of education and experience
- verifiedHigh School Diploma or GED required
- verifiedBachelor's degree from an accredited college or university preferred
- verifiedProfessional certification as applicable to line of business preferred
Benefits & Perks
Skills, education and keywords
Skills: workers compensation, claims management, claims examiner.
Education: High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.