Claims Examiner Specialist

6 days ago


Portland, Oregon, United States Sedgwick Full time

About Us
Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Our mission is to help people regain health and productivity, guide consumers through the claims process, protect brands and minimize business interruptions.

Job Overview
This role involves analyzing high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Key Responsibilities
The ideal candidate will have 5+ years of claims management experience or equivalent combination of education and experience required. Active adjusters license & experience handling OR jurisdiction highly preferred. The successful candidate will be able to:
- Analyze and process claims through well-developed action plans to an appropriate and timely resolution
- Negotiate settlement of claims within designated authority
- Communicate claim activity and processing with the claimant and the client
- Report claims to the excess carrier and respond to requests for directions in a professional and timely manner

What We Offer
Sedgwick offers a comprehensive benefits package including medical, dental vision, 401K on day one. A flexible work schedule, referral incentive program, career development and promotional growth opportunities are also available.

Estimated Salary Range
$85,000 - $110,000 per year (dependent on location and experience).

About You
We're looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. If you're passionate about delivering innovative customer-facing solutions and are committed to excellence and customer service, we encourage you to apply.



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