Claims Examiner - Workers Comp (REMOTE - DC, MD& VA exp required) jobs in United States
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Sedgwick · 3 hours ago

Claims Examiner - Workers Comp (REMOTE - DC, MD& VA exp required)

positionUnited States
timeFull-time
remoteRemote
senioritySenior Level
money$78K/yr - $85K/yr
date5+ years exp

Sedgwick is a global industry leader known for its excellence and customer service. The Claims Examiner will analyze complex workers' compensation claims, negotiate settlements, and ensure timely adjudication of claims while adhering to industry best practices and client service requirements.

BankingInsuranceRisk Management

Responsibilities

Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution
Negotiates settlement of claims within designated authority
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level
Performs other duties as assigned
Supports the organization's quality program(s)
Travels as required

Qualification

Claims management experienceWorkers' compensation knowledgeBachelor's degreeNegotiation skillsProfessional certification

Required

Five (5) years of claims management experience or equivalent combination of education and experience required
Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred

Benefits

Medical
Dental
Vision
401K on day one
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.
dateFounded in 1969
location
Memphis, Tennessee, USA
people-size10001+ employees
web-link
http://www.sedgwick.com

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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Recent News

Morningstar.com
Sedgwick names Paul White as CEO, International
2025-11-10
Research and Markets
Insurance Third Party Administrators Market Outlook 2025-2030: Increasing Demand for Healthcare TPAs Driving Industry Growth
2025-09-12
PR Newswire
Sedgwick appoints Vishy Padmanabhan to Chief Transformation Officer
2025-09-04
Company data provided by crunchbase