Workers Compensation Claims Examiner | MA, ME,NH, RI, DE, VT Jurisdictions

Workers Compensation Claims Examiner | MA, ME, NH, RI, DE, VT Jurisdictions | License Required (Evergreen)

With 3+ years of Lost‑Time claims management experience or an equivalent combination of education and experience, you will analyze Employees Compensation Lost‑Time claims on behalf of our valued clients to determine benefits due, ensuring timely adjudication and service expectations are met.

We are looking for driven individuals who embody our caring counts model and core values—empathy, accountability, collaboration, growth, and inclusion.

• Analyze and process claims through well‑developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlements of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

• Education & Licensing: 3+ years of Lost‑Time claims management experience or an equivalent combination of education and experience.
• 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.
• Jurisdiction Knowledge: MA, ME, NH, RI, DE, VT (knowledge of all not required).
• Licensing:
  Required.

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

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. For the jurisdiction noted in this job posting only, the starting pay range for this role is (75k – 82k). A comprehensive benefits package is offered, including but not limited to medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits.

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