Claims Examiner - Workers Compensation | MD, VA, DC, DE exp needed)

📋 Description

• • Join Sedgwick, a global industry leader renowned for its commitment to caring for people during life's unexpected moments. With a team of over 33,000 colleagues worldwide, you'll be part of an organization that makes a meaningful impact every day.
• • This role offers a unique opportunity to leverage your expertise in workers' compensation claims management within an energetic and innovative culture.
• • You will be instrumental in adjudicating complex customer claims, applying your knowledge to determine benefits due and ensuring timely resolution.
• • Contribute to delivering innovative, customer-facing solutions for clients across a diverse range of industries, including some of the world's most respected organizations.
• • Become a vital member of a rapidly growing, industry-leading global company celebrated for its excellence and exceptional customer service.
• • Utilize Sedgwick’s extensive global network of experts to foster continuous learning and share your valuable insights.
• • Embrace a role that offers flexibility and autonomy, empowering you to manage your daily work, location, and career path with a sense of ownership.
• • Take advantage of diverse and comprehensive professional development opportunities designed to help you excel in your role and advance your career.
• • Access a wide array of benefits designed to support your mental, physical, financial, and professional well-being.
• • The core of this position involves analyzing and processing workers' compensation claims with a focus on developing well-defined action plans for efficient and timely resolution.
• • This includes thoroughly investigating claims, gathering all necessary information, and accurately assessing the exposure associated with each case.
• • You will be responsible for negotiating settlements within your designated authority, demonstrating strong analytical and communication skills.
• • Maintain clear and consistent communication regarding claim activity and processing status with both claimants and clients, ensuring transparency and managing expectations.
• • Effectively report claims to excess carriers and respond promptly and professionally to any requests for direction, upholding the company's high standards of service.
• • This role requires a proactive approach to claim management, ensuring adherence to service expectations, industry best practices, and the specific requirements of each client.
• • You will play a key role in maintaining the integrity and efficiency of the claims handling process, contributing to client satisfaction and Sedgwick's reputation for excellence.
• • The position demands a keen eye for detail, strong problem-solving abilities, and the capacity to manage a caseload effectively while prioritizing tasks.
• • You will be expected to stay updated on relevant legislation, regulations, and industry trends impacting workers' compensation claims in the specified jurisdictions.
• • This is an excellent opportunity for a seasoned claims professional to make a significant impact, grow their career, and contribute to a company that values its employees and their contributions.
• • Sedgwick is recognized for its commitment to its employees, as evidenced by accolades such as Newsweek's America’s Greatest Workplaces, certification as a Great Place to Work®, and Fortune's Best Workplaces in Financial Services & Insurance.
• • The company fosters a culture of continuous improvement and professional growth, providing the resources and support needed for employees to thrive.
• • As a Telecommuter, you will enjoy the flexibility of working remotely while remaining an integral part of a collaborative and supportive team environment.
• • Your contributions will directly impact the successful resolution of claims, ensuring fair and timely outcomes for all parties involved.
• • This role is ideal for an individual who is self-motivated, detail-oriented, and possesses a strong understanding of workers' compensation principles and practices.
• • You will have the opportunity to work with a diverse client base, further broadening your experience and expertise in the field.
• • Sedgwick is dedicated to creating a positive and inclusive work environment where every employee feels valued and empowered.
• • The company offers a clear path for career development and promotional growth, encouraging employees to reach their full potential.
• • This position is more than just a job; it's a chance to be part of a mission-driven organization that prioritizes people and delivers exceptional service.