Claims Examiner
2 days ago
Sedgwick is seeking a Claims Examiner - Complex Claims Specialist to analyze and process complex workers' compensation claims. The ideal candidate will have a strong understanding of insurance principles and laws, as well as excellent analytical and communication skills.
Key Responsibilities:
- Analyze and process complex workers' compensation claims
- Investigate and gather information to determine claim exposure
- Negotiate settlements within designated authority
- Calculate and assign reserves to claims
- Prepare necessary state filings
- Manage the litigation process
- Coordinate vendor referrals
- Use cost containment techniques to reduce claim costs
- Manage claim recoveries
- Communicate with claimants and clients
Requirements:
- Bachelor's degree from an accredited college or university
- At least two years of claims management experience
- Subject matter expert in insurance principles and laws
- Excellent analytical and communication skills
- PC literate, including Microsoft Office products
About Sedgwick:
Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We are committed to doing the right thing and making a positive impact on the world through the people and organizations we serve.
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