Remote Workers' Comp Claims Examiner

Sedgwick; Tallahassee (FL); Remote; USD 64,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze complex claims for our clients, ensuring accurate benefit determinations and adherence to service expectations. The role supports a nationwide, remote-friendly work model with strong collaboration across teams.

The ideal candidate has 5+ years in claims management, solid negotiation skills, and a thorough understanding of jurisdiction requirements, particularly OR.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Licensing/Jurisdiction knowledge: OR; OR licensure preferred.

Responsibilities

• Analyzing and processing claims to determine exposure and timely resolution.
• 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 directions professionally and timely.

Skills

Claims management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze complex claims for our clients, ensuring accurate benefit determinations and adherence to service expectations. The role supports a nationwide, remote-friendly work model with strong collaboration across teams.

The ideal candidate has 5+ years in claims management, solid negotiation skills, and a thorough understanding of jurisdiction requirements, particularly OR.