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Sedgwick
Sedgwick
H1B Visa SponsorConstructionConsultingHealthcare
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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Workers’ Compensation Claims Examiner – Salt Lake City (Hybrid)

Handle complex workers’ compensation claims for Sedgwick, assessing coverage, investigating exposures, and negotiating settlements. The role also involves communicating claim decisions and activity with claimants and clients.

USUnited StatesCACaliforniaNVNevadaUTUtah
$80,000 – $100,000 / year
HybridFull-timeMiddleSeniorEnglish RequiredClaims Specialist

Description

  • Review clients’ workers’ compensation claims and determine benefits payable.
  • Manage claims through ongoing decisions that meet service standards, industry practices, and client requirements.
  • Assess and process claims using action plans to reach timely resolutions.
  • Investigate claims and collect information to assess exposure.
  • Negotiate settlements within assigned authority.
  • Update claimants and clients on claim activity and processing.
  • Submit claims to the excess carrier.
  • Respond promptly and professionally to requests for guidance.

Requirements

  • High school diploma or GED is required.
  • A bachelor’s degree from an accredited college or university is preferred.
  • Relevant professional certification is preferred where applicable to the line of business.
  • Five years of claims management experience, or an equivalent combination of education and experience, is required.
  • Must hold a license in California or Nevada.
  • Can analyze and process workers’ compensation claims.
  • Can investigate claims and gather information to assess exposure.
  • Can negotiate claim settlements within assigned authority.
  • Can communicate claim activity and processing to claimants and clients.
  • Can report claims to excess carriers and respond to requests for direction.
  • Clear and conceptual thinking skills.
  • Strong judgment, troubleshooting, problem-solving, analytical, and decision-making skills.
  • Can manage work-related stress and multiple priorities at once.
  • Can meet deadlines.
  • Can use a computer keyboard.
  • Can hear, see, and speak.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotion 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.
  • Remote work flexibility under the current designation, with a transition to hybrid work.

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