Claims Examiner - Workers Compensation | Jurisdiction: Southeast States | Licensing: FL or home state required - Remote

Sedgwick Claims Management Services Ltd; Florida; Híbrido; USD 65.000 - 81.000; Jornada completa

Descripción de la vacante

Sedgwick is seeking a Claims Examiner for Workers' Compensation. This remote role covers Southeast jurisdictional states, with licensing required in FL or your home state.

The position emphasizes analyzing claims, settlement negotiation, and client communication, within Sedgwick's strong service culture. Ideal candidates have 5 years of claims management experience, a high school diploma or GED, and a preferred bachelor's degree with industry certifications.

Formación

• Education: 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: FL or home state required.
• Jurisdiction Knowledge: FL, GA, NC, SC, AL, AR, KY.

Responsabilidades

• Analyzing and processing claims through well-developed action plans to determine exposure and resolve claims.
• 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 directions in a professional and timely manner.

Educación

High School Diploma or GED

Bachelor's degree (preferred)

Descripción del empleo

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: Southeast States | Licensing: FL or home state required - Remote

Are you looking 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.

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.

PRIMARY PURPOSE OF THE ROLE

To analyze 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 : FL or home state required

Jurisdiction Knowledge: FL, GA, NC, SC, AL, AR, KY

WORK ENVIRONMENT REQUIREMENTS INCLUDE

• 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.

BENEFITS

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. 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

CONTRIBUTION & COMPENSATION

A comprehensive benefits package is offered and a starting pay range for the role is (65k-81k). For the jurisdiction noted in this job posting only, the range of starting pay for this role is (65k-81k). 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.

EEO & DEI

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

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.

ABOUT US

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI‑enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

For more, see sedgwick.com

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