Claims Examiner

1 week ago


Phoenix, Arizona, United States Sedgwick Full time
About the Role

Sedgwick is seeking a Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Key Responsibilities
  • Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
  • 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 of directions in a professional and timely manner.
Requirements
  • 3+ years of claims management experience or equivalent combination of education and experience required.
  • High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Active adjusters license preferred, not required.
What We Offer
  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.


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