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Sedgwick
Sedgwick
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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.
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Remote Workers' Compensation Claims Examiner – Midwest

Sedgwick is seeking a remote Workers' Compensation Claims Examiner to adjudicate Midwest claims. The role investigates claim exposure, negotiates settlements, and communicates decisions with claimants and clients.

USUnited StatesILIllinoisMIMichigan
$65,000 – $85,000 / year
RemoteFull-timeMiddleSeniorEnglish RequiredClaims Specialist

Description

  • Evaluate Workers' Compensation claims for clients and determine the benefits payable
  • Maintain claim adjudication in line with service standards, industry practices, and client requirements
  • Use action plans to analyze, process, and resolve claims promptly
  • Investigate claims and collect information to assess exposure
  • Negotiate settlements within assigned authority limits
  • Keep claimants and clients informed about claim activity and processing
  • Report applicable claims to excess carriers
  • Provide professional, timely responses to requests for direction

Requirements

  • A high school diploma or GED is required
  • A bachelor's degree from an accredited college or university is preferred
  • Relevant professional certification is preferred when applicable to the business line
  • At least five years of claims management experience, or an equivalent combination of education and experience, is required
  • Working knowledge of Midwest state jurisdictions
  • An MI or MN license is required
  • Ability to analyze and process Workers' Compensation claims
  • Ability to investigate claims and collect information needed to assess exposure
  • Ability to negotiate settlements within assigned authority
  • Ability to explain claim activity and processing to claimants and clients
  • Ability to report claims to excess carriers and respond to direction requests
  • Strong clear and conceptual thinking skills
  • Sound judgment with troubleshooting, problem-solving, analytical, and discretion skills
  • Ability to manage work-related stress and multiple priorities
  • Ability to meet deadlines consistently
  • Computer keyboarding proficiency
  • Willingness and ability to travel as required

Benefits

  • Flexible scheduling options
  • Employee referral incentive program
  • Agile work environment
  • Career development and advancement opportunities
  • Medical, dental, and vision insurance
  • 401(k) eligibility beginning on the first day
  • 401(k) matching contributions
  • Paid time off
  • Disability and life insurance coverage
  • Employee assistance program
  • Flexible spending or health savings account
  • Additional voluntary benefits

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