Hybrid Claims Examiner, Workers' Comp (Remote/Hybrid)

Sedgwick; Tallahassee (FL); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with a CA-licensed jurisdiction and hybrid work options. The role focuses on analyzing claims, determining benefits, and adjudicating within service expectations.

Ideal candidates have 5 years of claims experience and a Bachelor’s degree preferred. Sedgwick offers a broad benefits package, a flexible schedule, and opportunities for career growth.

Qualifications

• Education & Licensing: High School Diploma or GED required; bachelor’s degree preferred.
• Experience: 5 years of claims management experience or equivalent combination of education and experience.
• Licensing/Jurisdiction Knowledge: CA required.

Responsibilities

• Analyzing and processing workers' compensation claims to determine exposure and benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to excess carriers and responding to directions.

Skills

Claims management

Attention to detail

Education

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with a CA-licensed jurisdiction and hybrid work options. The role focuses on analyzing claims, determining benefits, and adjudicating within service expectations.

Ideal candidates have 5 years of claims experience and a Bachelor’s degree preferred. Sedgwick offers a broad benefits package, a flexible schedule, and opportunities for career growth.