Sedgwick is hiring a Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Remote

Sedgwick is seeking a Workers Compensation Claims Examiner to join our team. In this role, you will manage and process workers' compensation claims, ensuring timely and accurate decisions while adhering to all applicable laws and regulations.

What You'll Do

• Independently handle a capped caseload of workers' compensation claims from inception to resolution.
• Ensure compliance with jurisdictional laws, including timely filing of reports and adherence to benefit payment timelines.
• Negotiate settlements of claims within your designated authority.
• Provide clear and effective communication with claimants and clients.
• Report claims to excess carriers and respond to requests professionally.
• Maintain accurate and comprehensive records in the claims management system.

What We're Looking For

• Minimum of 2 years of workers' compensation claims handling experience.
• Experience specifically with CT, MA, NH, RI, VT jurisdictional regulations.
• Experience with Public Entity claims management.
• High school diploma or equivalent.
• Strong understanding of workers' compensation claims processes, policies, and legal requirements.
• Excellent written and verbal communication skills.
• Strong analytical skills with attention to detail and accuracy.
• Ability to manage multiple claims simultaneously and prioritize workload effectively.
• Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook).
• Ability to negotiate settlements and resolve claims disputes effectively.

Nice to Have

• A college degree or relevant certifications (e.g., WCCP, AIC) is a plus.

Technical Stack

• Claims management software.
• Microsoft Office Suite (Excel, Word, Outlook).

Benefits & Compensation

• Compensation: $79k - $84k.
• Flexible work schedule.
• Capped Case Load.
• In-depth training.
• Sedgwick funded licensing.
• Referral incentive program.
• Opportunity to work in an agile or remote environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work Mode

This is a remote position open to candidates located in CT, MA, NH, RI, or VT.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.