Claims Examiner

2 days ago


Baton Rouge, Louisiana, United States Sedgwick Full time
Job Summary

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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