Remote Claims Examiner I – Workers' Comp

Sedgwick; Florida; Remote; USD 42,000 - 68,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner I for Workers' Compensation (REMOTE) supporting clients across FL, GA, NC or SC. You will analyze claims to determine benefits due and adjudicate within service expectations and client requirements, investigating information to assess exposure and negotiating settlements within authority.

We offer agile teamwork, career development, and a comprehensive benefits package to support your mental, physical, and financial well-being while you grow with a global

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.

Responsibilities

• Analyze workers' compensation claims on behalf of clients to determine benefits due.
• Analyze and process claims through well-developed action plans to timely resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Skills

Workers' comp experience

Analytical thinking

Negotiation skills

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner I for Workers' Compensation (REMOTE) supporting clients across FL, GA, NC or SC. You will analyze claims to determine benefits due and adjudicate within service expectations and client requirements, investigating information to assess exposure and negotiating settlements within authority.

We offer agile teamwork, career development, and a comprehensive benefits package to support your mental, physical, and financial well-being while you grow with a global