Claims Examiner - Workers Compensation, Licensing Required
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Job Description
Workers compensation claims examiner analyzing and settling WA or OR claims for Sedgwick, a global claims management company. Investigating exposure, communicating with clients, and adjudicating claims.
Responsibilities:
- Analyze and process Workers Compensation claims through action plans to timely resolution
- Investigate and gather information to determine claim exposure
- Negotiate claim settlements within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to the excess carrier
- Respond to requests for directions professionally and promptly
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
Requirements:
- 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
- 5 years of claims management experience or equivalent combination of education and experience required
- WWCP or Oregon Workers’ Compensation Claims Examiner Certification
- Jurisdiction knowledge: WA or OR
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Travel as required
- Hearing, vision and talking
Benefits:
- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K on day one
- 401k matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Reasonable accommodations when applicable and appropriate
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