Remote Claims Examiner — Workers’ Comp with Growth

Sedgwick; Austin (TX); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a claim examiner in Plano, TX for full-time, hybrid work. You will analyze Workers' Compensation claims, determine benefits due, and adjudicate within client service standards.

The role requires strong investigation, negotiation, and communication with claimants and clients, while maintaining timely updates to clients. You will negotiate settlements within authority, report to excess carriers, and work in an agile, collaborative environment with opportunities for career

Qualifications

• High School Diploma or GED required.
• Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.

Responsibilities

• Analyze and process workers' compensation claims to determine exposure and benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and respond to directions promptly.

Skills

Analytical thinking

Negotiation

Communication

Time management

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a claim examiner in Plano, TX for full-time, hybrid work. You will analyze Workers' Compensation claims, determine benefits due, and adjudicate within client service standards.

The role requires strong investigation, negotiation, and communication with claimants and clients, while maintaining timely updates to clients. You will negotiate settlements within authority, report to excess carriers, and work in an agile, collaborative environment with opportunities for career