Remote Claims Examiner – Workers' Compensation

Sedgwick; Oklahoma City (OK); Remote; USD 65,000 - 81,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile work environment

Career development opportunities

Comprehensive benefits on day one

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with jurisdiction knowledge across Southeast states and remote work options. The role emphasizes analyzing claims, determining benefits, and adhering to service expectations and client requirements.

Ideal candidates have a high school diploma or GED with a Bachelor's degree preferred and at least 5 years in claims management. Licensing in FL or home state is required, with a flexible, remote-hybrid work environment.

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing : FL or home state required
• Jurisdiction Knowledge: FL, GA, NC, SC, AL, AR, KY

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Skills

claims management

claims analysis

negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with jurisdiction knowledge across Southeast states and remote work options. The role emphasizes analyzing claims, determining benefits, and adhering to service expectations and client requirements.

Ideal candidates have a high school diploma or GED with a Bachelor's degree preferred and at least 5 years in claims management. Licensing in FL or home state is required, with a flexible, remote-hybrid work environment.