Remote Workers Comp Claims Examiner | Flexible

Sedgwick; Dallas (TX); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible schedule

Career development

401K on day one

Medical benefits

Dental benefits

Vision benefits

Life insurance

Job summary

Sedgwick is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for major clients from a remote environment across multiple jurisdictions. You will adjudicate benefits due, follow service expectations, and leverage a broad network of experts to deliver solutions while supporting ongoing client needs.

The role emphasizes heavy litigation experience, 5 years of claims management expertise, and licensing across multiple states.

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.

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

5 years claims management experience

Heavy Litigation experience

Jurisdiction knowledge

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification relevant to line of business

Job description

Sedgwick is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for major clients from a remote environment across multiple jurisdictions. You will adjudicate benefits due, follow service expectations, and leverage a broad network of experts to deliver solutions while supporting ongoing client needs.

The role emphasizes heavy litigation experience, 5 years of claims management expertise, and licensing across multiple states.