Claims Examiner - Workers Compensation EVERGREEN (Needs MD, DC, VA exp) jobs in United States
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Sedgwick · 19 hours ago

Claims Examiner - Workers Compensation EVERGREEN (Needs MD, DC, VA exp)

Sedgwick is a global industry leader in claims management and is seeking a Claims Examiner to adjudicate complex customer claims. The role involves analyzing workers compensation claims, negotiating settlements, and communicating effectively with clients and claimants.

BankingInsuranceRisk Management

Responsibilities

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim
Negotiating settlement of claims within designated authority
Communicating claim activity and processing with the claimant and the client
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner

Qualification

Claims management experienceWorkers compensation knowledgeProfessional certificationMDVADC experienceJudgementClear thinking abilityCommunication skills

Required

Five (5) years of claims management experience or equivalent combination of education and experience required
High School Diploma or GED required
Licensing / Jurisdiction Knowledge: MD, VA, DC exp

Preferred

Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred

Benefits

Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits

Company

Sedgwick

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Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.

Funding

Current Stage
Late Stage
Total Funding
$1.5B
Key Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired

Leadership Team

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Michael Arbour
Chairman & Chief Executive Officer
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Kalani Reelitz
Global Chief Financial Officer
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Company data provided by crunchbase