Hybrid Workers' Comp Claims Examiner — Growth & Flex

Sedgwick Claims Management Services Ltd; Plano (TX); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Referral incentive

Agile environment

Career development

Benefits package

Job summary

Sedgwick in Plano, TX is seeking a Workers' Compensation Claims Representative for a hybrid role with 3 days in office and 2 days remote. You will analyze claims, determine benefits due, and adjudicate within service expectations and client requirements.

The ideal candidate has a High School Diploma or GED (Bachelor's preferred) and at least 2 years of claims management experience. TX licensing is required and OK/LA licensing is preferred.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• Minimum 2 years of claims management experience.
• TX license required; OK/LA licenses preferred.

Responsibilities

• Analyze workers' compensation claims to determine benefits due.
• Investigate and gather information to support claim exposure assessment.
• Negotiate settlements within designated authority and communicate with claimants and clients.

Skills

Claims analysis

Negotiation

Communication

Reporting

Adjudication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick in Plano, TX is seeking a Workers' Compensation Claims Representative for a hybrid role with 3 days in office and 2 days remote. You will analyze claims, determine benefits due, and adjudicate within service expectations and client requirements.

The ideal candidate has a High School Diploma or GED (Bachelor's preferred) and at least 2 years of claims management experience. TX licensing is required and OK/LA licensing is preferred.