Claims Examiner - Workers Compensation | Jurisdiction: NC | Licensing: Reciprocal Required (REMOTE - Only NC Residents)

📋 Description

• • Claims Examiner - Workers Compensation role at Sedgwick Claims Management Services, Inc., a global leader in claims management, where you will adjudicate complex workers' compensation claims to determine benefits due, manage high-exposure claims involving litigation and rehabilitation, and ensure timely resolution within service expectations and client requirements.
• • Day-to-day responsibilities include analyzing and processing complex claims, negotiating settlements, calculating and assigning reserves, paying benefits due, preparing state filings, managing litigation, coordinating vendor referrals, applying cost containment techniques, managing claim recoveries, reporting to excess carriers, communicating claim activity with claimants and clients, ensuring proper documentation and coding, and traveling as required.
• • Sedgwick is a globally recognized employer 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 caring culture rooted in empathy, accountability, collaboration, growth, and inclusion.
• • In this role, you will develop deep expertise in workers’ compensation claims adjudication, enhance negotiation and analytical skills, gain exposure to global best practices in claims management, and advance your career through professional development opportunities and a clear path for growth within a stable, industry-leading organization.