Remote-Eligible Workers' Comp Claims Examiner

Sedgwick; United States; Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Flexible work options

Referral incentive program

Career development opportunities

Comprehensive benefits package

Hybrid work model

Job summary

Sedgwick is hiring a Claims Examiner - Workers Compensation to analyze claims and determine benefits due for clients across TX and OK. The role emphasizes adjudication within service standards, with an emphasis on timely resolution and professional communication with claimants and clients.

The ideal candidate has a high school diploma or GED (Bachelor's preferred), about 5 years of claims management experience, and knowledge of TX/OK licensing requirements.

Qualifications

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

Responsibilities

• Analyzing and processing workers' compensation claims to determine benefits and exposure.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to the excess carrier and handling directions professionally.

Skills

Claims management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring a Claims Examiner - Workers Compensation to analyze claims and determine benefits due for clients across TX and OK. The role emphasizes adjudication within service standards, with an emphasis on timely resolution and professional communication with claimants and clients.

The ideal candidate has a high school diploma or GED (Bachelor's preferred), about 5 years of claims management experience, and knowledge of TX/OK licensing requirements.