Claims Examiner Workers Compensation I Remote
location_on2628, West Missouri Avenue, Alhambra, Phoenix, Arizona, 85017, 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, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Work Environment
This role requires physical computer keyboarding, auditory and visual capabilities for hearing, vision, and talking, as well as mental clarity for conceptual thinking, excellent judgment, and the ability to meet deadlines.
Equal Opportunity Employer
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
Work location
Work model: Remote
2628, West Missouri Avenue, Alhambra, Phoenix, Arizona, 85017, United States
Phoenix, Arizona
Key Responsibilities
- check_circleAnalyze and process workers compensation claims through action plans
- check_circleReport claims to excess carriers and respond to direction requests
- check_circleInvestigate claims to determine exposure and gather information
- check_circleCommunicate claim activity and processing with claimants and clients
- check_circleNegotiate claim settlements within designated authority
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
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Skills, education and keywords
Skills: workers compensation, claims management, adjudication.
Education: High School Diploma or GED required; Bachelor's degree preferred.