Remote Workers’ Comp Claims Examiner

Sedgwick; Austin (TX); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Medical benefits

Dental and vision insurance

401K with company match

PTO and disability

Job summary

Sedgwick is seeking a Claims Examiner to analyze workers' compensation claims, determine benefits due, and adjudicate claims with a focus on client service expectations. The role emphasizes flexibility, autonomy, and ongoing professional development within a supportive, values-driven culture.

The position supports a hybrid work arrangement with in-office collaboration and remote work options, plus a broad benefits package addressing medical, dental, vision, 401(k) matching, and more.

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: Home state preferred

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

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner to analyze workers' compensation claims, determine benefits due, and adjudicate claims with a focus on client service expectations. The role emphasizes flexibility, autonomy, and ongoing professional development within a supportive, values-driven culture.

The position supports a hybrid work arrangement with in-office collaboration and remote work options, plus a broad benefits package addressing medical, dental, vision, 401(k) matching, and more.