Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing Required | Additional Jurisdictions: CT, MA, NH, RI
Sedgwick · CT, US
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About the Role
Analyze Workers Compensation Lost-Time claims on behalf of clients to determine benefits due, ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements.
Responsibilities
- Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- 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 of directions in a professional and timely manner.
Requirements
- 4+ years of claims management experience or equivalent combination of education and experience required.
- Strong VT Jurisdictional Experience & VT Licensing Required
- Jurisdiction Knowledge: CT, MA, NH, RI, VT
- Licensing: VT
- Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
- Physical: Computer keyboarding
- Auditory/Visual: Hearing, vision and talking
Skills
- Workers Compensation
- Claims Management
- Customer Service
- Problem Solving
- Communication
Location
- VT
Work Type
- Remote
Experience Level
- 4+ years
Education Level
- 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
Salary/Compensations
- $80,000 - $90,000
Benefits
- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical
- Dental
- Vision
- 401K on day one
- 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
About the Company
- Sedgwick is a global industry leader known for its excellence and customer service.
- Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
- Certified as a Great Place to Work®
- Fortune Best Workplaces in Financial Services & Insurance
Equal Opportunity
- Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
- Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.