Claims Examiner - Workers Comp (Remote) I Northeast Jurisdictions
Job Overview
Location
Recruiting Only - Telecommuter
Job Type
Full-time
Category
HR & Recruiting
Date Posted
April 15, 2026
Full Job Description
đź“‹ Description
- • Claims Examiner - Workers Comp (Remote) I Northeast Jurisdictions: Analyze and adjudicate workers compensation claims for clients across Northeast jurisdictions, ensuring timely, accurate resolutions aligned with service expectations and industry best practices.
- • Day to day: Investigate claims, gather information, develop action plans, negotiate settlements within authority, communicate claim status to claimants and clients, and report to excess carriers while maintaining compliance with jurisdictional requirements.
- • About the team or company: Sedgwick Claims Management Services, Inc. is a global industry leader with 33,000 colleagues, recognized as a Great Place to Work®, Fortune Best Workplace in Financial Services & Insurance, and Newsweek’s America’s Greatest Workplaces National Top Company, offering a caring culture and work-life balance.
- • What the person can learn or achieve: Develop expertise in complex workers compensation adjudication, leverage Sedgwick’s global expert network, access professional development opportunities, and grow your career in a flexible, autonomous remote role with clear advancement paths.
🎯 Requirements
- • 5 years of claims management experience or equivalent combination of education and experience
- • High School Diploma or GED required; Bachelor’s degree from an accredited college or university preferred
- • Professional certification in workers compensation or related line of business preferred
- • Demonstrated knowledge of jurisdictional requirements for NH, VT, MA, CT, RI, DC, DE, WV, VA
- • Ability to investigate claims, negotiate settlements, and communicate effectively with claimants and clients
- • Strong conceptual thinking, judgment, discretion, and deadline management skills
🏖️ Benefits
- • Flexible work schedule and remote work arrangement
- • Comprehensive benefits package including medical, dental, vision, 401(k) with matching from day one
- • Career development and promotional growth opportunities
- • Referral incentive program and access to agile work environment
- • Employee assistance program, flexible spending/health savings accounts, disability and life insurance
- • Paid time off and voluntary benefits supporting mental, physical, financial, and professional well-being
Skills & Technologies
About Sedgwick Claims Management Services, Inc.
Sedgwick is a global provider of technology-enabled risk, benefits and integrated business solutions, primarily handling insurance claims, managed care, absence and disability, and productivity management for employers, carriers, and administrators. The company processes millions of claims annually across workers' compensation, property, casualty, disability, and other lines, leveraging analytics and digital platforms to improve outcomes, reduce costs, and enhance customer and employee experiences.
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