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Claims Examiner - Workers Compensation at Sedgwick - ApplyBlast

Claims Examiner - Workers Compensation

Sedgwick

5 months ago

3.2 on Glassdoor

Plano, TX

Hybrid

Full Time

Senior

0 applicants

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About this role

A Claims Examiner at Sedgwick adjudicates complex workers' compensation claims, determining benefits and managing claims through action plans to achieve timely resolution. The role involves negotiating settlements, calculating reserves, managing litigation processes, and ensuring cost containment for clients across various industries. Candidates must possess strong analytical skills to investigate claims and apply industry best practices within a caring and collaborative culture.

Responsibilities

Adjudicate complex workers' compensation claims to determine benefits due
Negotiate claim settlements within designated authority levels
Calculate and manage appropriate reserves throughout the claim lifecycle
Manage the litigation process to ensure cost-effective resolution
Coordinate vendor referrals for investigation and litigation management

Skills

Qualifications

Bachelor's degree preferredFive years claims management experience

About Sedgwick

sedgwick.com

Headquarters

United States

Company Size

10001+ employees

Founded

1969

View Profile

Sedgwick's tech-enabled risk, benefits, and integrated business solutions include comprehensive claims management and loss adjusting across industries.