Claims Examiner Workers Compensation I NE jurisdiction experience required
Job Overview
Location
US Telecommuter
Job Type
Full-time
Category
HR & Recruiting
Date Posted
June 20, 2026
Full Job Description
đź“‹ Description
- • Claims Examiner Workers Compensation I role at Sedgwick Claims Management Services, Inc., a global leader in claims management, where you will apply your expertise to adjudicate complex workers compensation claims for respected clients across industries, ensuring timely and accurate resolutions while upholding the company’s caring culture and core values of empathy, accountability, collaboration, growth, and inclusion.
- • Day to day, you will analyze and process claims through structured action plans, investigate and gather information to determine claim exposure, negotiate settlements within designated authority, communicate claim activity with claimants and clients, and report claims to excess carriers while responding to directional requests professionally and timely.
- • Sedgwick is a globally recognized organization with 33,000 colleagues, certified as a Great Place to Work®, recognized by Newsweek as one of America’s Greatest Workplaces, and honored as a Fortune Best Workplace in Financial Services & Insurance, offering a supportive, innovative, and inclusive environment where employees are empowered to grow and make meaningful impact.
- • In this role, you will deepen your workers compensation expertise, develop negotiation and communication skills, gain exposure to multi-jurisdictional claims (NH, VT, MA, CT, RI, DC, DE, WV, VA), access professional development opportunities, and build a career path within a growing industry leader that values autonomy, flexibility, and continuous learning.
🎯 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 workers compensation jurisdiction requirements for NH, VT, MA, CT, RI, DC, DE, WV, VA
- • Ability to analyze claims, negotiate settlements, and communicate effectively with claimants and clients
- • Strong judgment, discretion, conceptual thinking, and ability to meet deadlines in a remote work environment
🏖️ Benefits
- • Flexible work schedule and telecommuter eligibility
- • Comprehensive benefits package including medical, dental, vision, 401K with company match on day one
- • Career development and promotional growth opportunities
- • Referral incentive program and access to Sedgwick’s global network of experts
- • Employee assistance program, flexible spending or health savings account, disability and life insurance, and paid time off
Skills & Technologies
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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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