Workers Compensation Claims Examiner | Jurisdictions: MA, CT, NH, RI, VT | Licensing: VT, CT, NH, RI
Sedgwick · CT, US
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About the Role
Analyze Lost-Time Workers Compensation claims on behalf of clients to determine benefits due, ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements. This role offers the opportunity to apply examiner knowledge and experience to adjudicate complex customer claims within an energetic culture, delivering innovative customer-facing solutions to clients representing virtually every industry.
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
- 5 years of claims management experience or equivalent combination of education and experience required.
- 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.
- Ability to meet deadlines.
- Computer keyboarding.
- Hearing, vision and talking.
Skills
- Claims management
- Workers Compensation
- Claim adjudication
- Customer service
- Problem solving
- Communication
Location
- MA
- CT
- NH
- RI
- VT
Work Type
- Remote
- Agile environment
Experience Level
- 5 years
Education Level
- High School Diploma or GED required
- Bachelor's degree preferred
- Professional certification preferred
Salary/Compensations
- $80,000 - $90,000
Benefits
- Medical
- Dental
- Vision
- 401K on day one
- 401K matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance program
- Flexible spending account
- Health savings account
- Referral incentive program
- Career development and promotional growth opportunities
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.