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Claims Examiner

2 months ago


Las Vegas, Nevada, United States Sedgwick Full time
About the Role

We are seeking a skilled Claims Associate to join our team at Sedgwick. As a Claims Associate, you will play a critical role in analyzing and processing Workers Compensation / Medical-Only claims on behalf of our valued clients.

Key Responsibilities
  • Analyze and process claims through well-developed action plans to ensure 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 in a professional and timely manner.
Requirements
  • 2+ 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.
  • Nevada Staff Adjusters License must be obtained within 3 months of hire if not currently obtained.
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. We are committed to building a diverse, equitable, and inclusive workplace and recognize that each person possesses a unique combination of skills, knowledge, and experience. If you're excited about this role but your experience doesn't align perfectly with every qualification, consider applying anyway.