Workers Compensation Claims Examiner New England Jurisdictions
18 hours ago
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Workers Compensation Claims Examiner | New England Jurisdictions (CT, MA, NH, RI, VT)
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?
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- 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?**To analyze New England 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.
**PRIMARY PURPOSE OF THE ROLE**:We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
**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: 3+ years of claims management experience or equivalent combination of education and experience required.
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: CT, MA, NH, RI, VT**
**TAKING CARE OF YOU**
- 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.
Work environment requirements for entry-level opportunities include:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
claims #claimsexaminer #remote
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. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (61,857 - 86,600/yr). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
-
New England Claims Examiner
7 months ago
Cape Town, South Africa Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Claims Examiner
7 months ago
Cape Town, South Africa Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Claims Examiner Wc
7 months ago
Cape Town, South Africa Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Claims Examiner
5 days ago
Cape Town, South Africa Sedgwick Full timeClaims Examiner - Workers Compensation NY License/Remote IF YOU CARE, THERE’S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick’s talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is...
-
Cape Town, South Africa Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...
-
Claims Examiner-liability
18 hours ago
Cape Town, South Africa Sedgwick Full timeClaims Examiner-Liability IF YOU CARE, THERE’S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick’s talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we...
-
Claims Administrator
3 days ago
Cape Town, South Africa PSG Insure Full time**Job description**: The Claims Administrator is responsible for coordinating and overseeing, managing, negotiating settlement of the claim and is accountable for the finalisation of the claim end-to-end. **Responsibilities**: - Register claims and appoint assessors - Manage claims in terms of claims SLA - Make decision regarding merit - indemnify or not -...
-
Forensic Planner
1 week ago
Cape Town, South Africa TRS Staffing Full timeCape Town SA Role Purpose To work with internal Project Planning Teams to ensue project schedules, records and reports are setup and maintained in accordance with contractual requirements, internal best practices, enabling the preparation of prospective and retrospective delay and disruption analyses, providing effective delay and disruption claims advice,...
-
Forensic Planner
2 days ago
Cape Town, South Africa Kirby Group Engineering Full time**Forensic Planner & Claims Analyst | Cape Town** - **Permanent position available with a considerable portfolio of works for the next 5+ years**: - **To build your career by assisting in the delivery of ‘leading edge’ engineering projects.**: - **To work with a vibrant, agile and multi-functional team in delivering projects on time, safely, to budget...
-
Payroll Administrator
7 months ago
Cape Town, South Africa The Talent Room Full timeOur client based in Cape Town is searching for a Payroll Administrator. The role will report to the finance department. **Requirements**: Matric (NQF level 4) or equivalent qualification. 3-5 years’ experience in salaries and wages operating the Sage Payroll system. Proficiency in operating Syspro or an equivalent accounting system. Ability to handle...
-
Claims Administrator
2 months ago
Cape Town, South Africa Value Car Hire Full time**Key Responsibilities**: **Claims Intake and Documentation**: - Receive, log, and track vehicle accident claims reported by customers, employees, or third parties. - Ensure that all necessary documentation is gathered, including police reports, damage assessments, and customer statements. - Review accident details and assess claim eligibility based on...
-
Senior Claims Technician
7 months ago
Cape Town, South Africa Guardrisk Full time**Introduction** - Full support to Claims team, from loading of claims, appointment of surveyors, adjusting claims and preparing agreements of loss, estimate revision, drafting of repudiation letters, managing your own diary, appointment of recovery agents and supporting the Claims Manager with ad-hoc reporting and duties as assigned from time to time.**Role...
-
Claims Specialist X 2
4 months ago
Cape Town, South Africa Health Solutions Full time**Introduction** - Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation and create value through unique insights of how to achieve specific outcomes by...
-
Claims Service Consultant
7 months ago
Cape Town, South Africa Sanlam Full time**Who are we?** Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is...
-
Global Compensation Specialist
4 days ago
Cape Town, South Africa Boldr Full time**WHAT YOU’LL LIKE ABOUT US**: - Great company culture! Our diverse backgrounds, commitment, and passion are the things that make us great. - We geek out on new ideas, proposals, anything that will positively impact our clients and of course, you! - We’ve got training sessions in store to help you level up your skill set. - With you on Boldr’s side,...
-
Employee Benefits Specialist
9 months ago
Cape Town, South Africa Cape National Recruitment Pty Ltd Full timeResponsibilities: - Conduct employee orientations and explain the company's benefits package - Collect and analyze data related to employee benefits, such as enrollment, usage, and satisfaction - Assist with employee evaluation processes, including performance reviews and feedback sessions - Utilize software to manage employee benefits administration -...
-
Incentive Compensation Analyst
3 days ago
Cape Town, South Africa Impact Full time**Our** **Company**: At Impact our culture is our soul. We are passionate about our people, our technology, and are obsessed with customer success. Working together enables us to grow rapidly, win, and serve the largest brands in the world. We use cutting edge technology to solve real world problems for our clients and continue to pull ahead of the pack as...
-
Claims Handler
7 months ago
Cape Town, South Africa Outworx Full time**Required knowledge and skills**: - Empathetic and understanding towards others. - Excellent communication skills both verbal and written. - Attention to detail and accuracy. - Experience in Claims Management is desirable. - Customer focussed. - Understanding of policy cover. **Key Responsibilities**: - To carry out and complete the ‘First Notification...
-
General Worker
5 days ago
Cape Town, South Africa Yebo Fresh Full time**Yebo Fresh is an award-winning online grocery platform focusing on South Africa’s mass market. Our unique business model and partnerships with manufacturers allow us to deliver an unbeatable offer at an extremely competitive price point.** **We serve families, NGO’s, Schools, ECDs, and township food businesses such as Spazas and fast food...
-
Safety Manager Wynberg
7 months ago
Cape Town, South Africa Jobs4All Full timeResponsibilities Develop and execute health and safety plans in the workplace according to legal guidelines. Prepare and enforce policies to establish a culture of health and safety. Evaluate practices, procedures, and facilities to assess risk and adherence to the law. Conduct training and presentations for health and safety matters and accident...