Claims Examiner – Workers Compensation, MT Preferred

🔥 7 minutes ago

🦬 Montana – Remote

🦬 Montana – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• To analyze mid- and higher-level workers compensation claims to determine benefits due. • Ensure ongoing adjudication of claims within company standards and industry best practices. • Identify subrogation of claims and negotiate settlements. • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information. • 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.

🎯 Requirements

• 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. • 4 years of claims management experience or equivalent combination of education and experience required. • Licensing / Jurisdiction Knowledge: MT

🏖️ Benefits

• Flexible work schedule. • Referral incentive program. • Career development and promotional growth opportunities. • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.