Sedgwick
Sedgwick
Sedgwick oferă organizațiilor din întreaga lume soluții tehnologice pentru gestionarea riscurilor, beneficiilor și a unor servicii de afaceri integrate. Activitatea sa include administrarea dosarelor de daună pentru accidente, sănătate, dizabilitate, compensații de șomaj și răspundere, precum și servicii de consultanță, contabilitate judiciară, inginerie judiciară, restaurarea proprietăților, protejarea mărcilor și prevenirea pierderilor. Sedgwick sprijină clienți din sectoare precum construcțiile, consultanța, sănătatea, agricultura și serviciile de mediu, punând un accent declarat pe diversitate, echitate, incluziune și practicile de mediu, sociale și de guvernanță.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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