Sedgwick
Sedgwick
Sedgwick provides technology-enabled risk, benefits, and integrated business solutions for organizations worldwide. Its work includes administering accident, health, disability, unemployment compensation, and liability claims, alongside building consulting, forensic accounting, forensic engineering, property restoration, brand protection, and loss prevention services. Sedgwick supports clients across industries including construction, consulting, healthcare, agriculture, and environmental services, with a stated focus on diversity, equity, inclusion, and environmental, social, and governance practices.

Remote Workers’ Compensation Claims Examiner I (CO, AZ, UT)

Review and resolve workers’ compensation claims for Sedgwick’s insurance clients, from assessing exposure to negotiating settlements. The role covers claims in Colorado, Arizona, and Utah, with a focus on timely, service-focused adjudication.

Description

  • Assess workers’ compensation claims for clients and determine benefits due.
  • Adjudicate claims in line with service expectations, industry practices, and client requirements.
  • Investigate claims and gather information to evaluate exposure.
  • Develop and carry out action plans to resolve claims promptly.
  • Negotiate settlements within assigned authority.
  • Keep claimants and clients informed about claim activity and processing.
  • Report claims to excess carriers.
  • Respond promptly and professionally to requests for direction.

Requirements

  • At least five years of claims management experience, or an equivalent combination of education and experience.
  • High school diploma or GED.
  • Bachelor’s degree from an accredited college or university preferred.
  • Professional certification relevant to the line of business preferred.
  • Knowledge of licensing and jurisdiction requirements in Colorado, Arizona, and Utah.
  • Computer keyboarding skills.
  • Ability to hear, see, and speak.
  • Clear, conceptual thinking skills.
  • Strong judgment and discretion.
  • Ability to meet deadlines.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Opportunity to work in an agile environment.
  • Career development and advancement opportunities.
  • Medical, dental, and vision coverage.
  • 401(k) plan with matching.
  • Paid time off.
  • Disability and life insurance.
  • Employee assistance program.
  • Flexible spending account or health savings account.
  • Additional voluntary benefits.