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Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Sedgwick Claims Management Services, Inc.

  • Portland, OR
  • 11 days ago
  • Remote
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    Skills

    • Adjudicationunmatched
    • Auditoryunmatched
    • Best Practicesunmatched
    • Claims Processingunmatched
    • Compensation Analysisunmatched
    • Customer Support/Serviceunmatched
    • Data Collectionunmatched
    • Environmental Regulationsunmatched
    • Financial Servicesunmatched
    • High School Diplomaunmatched
    • Identify Issuesunmatched
    • Incentive Programsunmatched
    • Insuranceunmatched
    • Licensingunmatched
    • Multitaskingunmatched
    • Negotiation Skillsunmatched
    • Problem Solving Skillsunmatched
    • Time Managementunmatched
    • Willing to Travelunmatched
    • Work From Homeunmatched
    • Worker's Compensationunmatched

    Description

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

    Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

    Certified as a Great Place to Work

    Fortune Best Workplaces in Financial Services & Insurance

    Claims Examiner - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

    Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

    • Apply your Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

    • Enjoy flexibility and autonomy in your daily work, your location, and your career path.

    • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

    ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

    WORK LOCATIONS: Hybrid work schedule, 2 days in office 3 days working from home.

    PRIMARY PURPOSE OF THE ROLE To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

    ESSENTIAL RESPONSIBLITIES MAY INCLUDE

    • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

    • Negotiating settlement of claims within designated authority.

    • Communicating claim activity and processing with the claimant and the client.

    • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

    QUALIFICATIONS

    Education & Licensing: 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.

    Experience: 5 years of claims management experience or equivalent combination of education and experience required.

    Licensing / Jurisdiction Knowledge: WA

    TAKING CARE OF YOU

    • Flexible work schedule.

    • Referral incentive program.

    • Opportunity to work in an agile environment.

    • Career development and promotional growth opportunities.

    • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

    WORK ENVIRONMENT REQUIREMENTS INCLUDE

    When applicable and appropriate, consideration will be given to reasonable accommodations.

    Mental: 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; and ability to meet deadlines

    Physical: Computer keyboarding, travel as required

    Auditory/Visual: Hearing, vision and talking

    #claimsexaminer #claims #hybrid #LI-REMOTE #Sedgwick #Hotjobs #portland #oregon

    Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

    If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

    Numbers & Facts

    LocationPortland, OR (
    Remote
    )
    IndustryManagement Consulting Services
    Company Size10,000 employees or more
    Year Founded1969
    Websitehttps://www.sedgwick.com/Pages/default.aspx

    Benefits

    Paid Sick Days, Performance Bonus, Professional Development, 401K, Employee Referral Program, Retirement / Pension Plans, Tuition Reimbursement, Work From Home, Life Insurance, Military Leave

    About Company

    Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

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