Claims Examiner | Flexible Schedule & Growth

Sedgwick Claims Management Services Ltd; Texas; Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner to analyze workers’ compensation claims for clients and determine benefits due. You will adjudicate within service expectations and compliance, ensuring accurate exposure assessment and timely processing.

The role requires a high school diploma or GED (bachelor’s degree preferred) and about 5 years of claims management experience. Flexibility, strong communication, and the ability to navigate complex cases are essential.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• Minimum 5 years of claims management experience or equivalent.

Responsibilities

• Analyze workers' compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlements within designated authority and communicate with claimants and clients.
• Report claims to carriers and respond to client directions in a timely manner.

Skills

Attention to detail

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner to analyze workers’ compensation claims for clients and determine benefits due. You will adjudicate within service expectations and compliance, ensuring accurate exposure assessment and timely processing.

The role requires a high school diploma or GED (bachelor’s degree preferred) and about 5 years of claims management experience. Flexibility, strong communication, and the ability to navigate complex cases are essential.