Impactful Workers’ Comp Claims Specialist

Sedgwick; Frisco (TX); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation in TX. The role involves analyzing complex claims, adjudicating benefits, and coordinating with clients and providers in a hybrid environment. Ideal candidates have 5+ years of claims management, a Bachelor's degree, and TX licensing.

The position offers flexible scheduling, opportunities for career development, and a comprehensive benefits package, with travel as needed to support clients and investigations.

Qualifications

• Bachelor's degree preferred; licenses as required.
• Five years of claims management experience or equivalent.
• TX jurisdiction/licensing required.

Responsibilities

• Analyzes and adjudicates complex workers' compensation claims to determine benefits.
• Negotiates settlements within designated authority.
• Calculates reserves and pays benefits; ensures timely payments and adjustments.
• Documents claims accurately and communicates with claimants and clients.
• Supports quality programs and travels as required.

Skills

Claims management

TX licensing

Education

Bachelor's degree

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation in TX. The role involves analyzing complex claims, adjudicating benefits, and coordinating with clients and providers in a hybrid environment. Ideal candidates have 5+ years of claims management, a Bachelor's degree, and TX licensing.

The position offers flexible scheduling, opportunities for career development, and a comprehensive benefits package, with travel as needed to support clients and investigations.