Remote Workers' Comp Claims Examiner

Sedgwick; Austin (TX); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Medical, dental vision

401K on day one

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation to adjudicate complex WC claims and determine benefits with a focus on accuracy and timely decisions. This role can be remote or telecommute, supporting a flexible work culture across multiple jurisdictions.

The ideal candidate will bring 5+ years of claims management experience, OR licensing preferred, and strong skills in negotiation, communication, and client collaboration.

Qualifications

• Education & Licensing: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 5 years of claims management experience or equivalent combination of education and experience.

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

Workers' compensation

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation to adjudicate complex WC claims and determine benefits with a focus on accuracy and timely decisions. This role can be remote or telecommute, supporting a flexible work culture across multiple jurisdictions.

The ideal candidate will bring 5+ years of claims management experience, OR licensing preferred, and strong skills in negotiation, communication, and client collaboration.