Remote Workers' Comp Claims Examiner

Sedgwick; Miami (FL); Remote; USD 63,000 - 88,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Comprehensive benefits

Job summary

Sedgwick in Florida is seeking a Claims Examiner for Workers’ Compensation to adjudicate complex claims with supervision responsibilities. The role supports clients across industries and leverages Sedgwick’s network and agile environment.

You’ll analyze high-exposure claims, guide litigation processes, coordinate vendor referrals, and mentor junior adjusters as part of a growing team. A Florida license is required and flexibility with a hybrid schedule is offered.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• License or licensing as required for Florida jurisdiction.

Responsibilities

• Analyze and adjudicate complex general liability/workers' compensation claims to determine benefits due.
• Manage litigation processes and ensure timely, cost-effective resolutions.
• Coordinate referrals for additional investigation or litigation management.
• Lead team meetings and assign follow-up responsibilities.
• Mentor junior adjusters and provide workload insight to leadership.

Skills

Claims management

Leadership

Regulatory compliance

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick in Florida is seeking a Claims Examiner for Workers’ Compensation to adjudicate complex claims with supervision responsibilities. The role supports clients across industries and leverages Sedgwick’s network and agile environment.

You’ll analyze high-exposure claims, guide litigation processes, coordinate vendor referrals, and mentor junior adjusters as part of a growing team. A Florida license is required and flexibility with a hybrid schedule is offered.