Remote Workers' Comp Claims Examiner - Flexible Growth

Sedgwick Claims Management Services Ltd; Columbia (SC); Hybrid; USD 65,000 - 81,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick Claims Management Services Ltd. is seeking a Claims Examiner for Workers Compensation in a Southeast-focused, hybrid role. You will analyze and adjudicate claims, negotiate settlements, and keep clients informed of claim progress.

A strong background in claims management and licensing in Florida or your home state is required. The ideal candidate has 5 years of experience, a solid understanding of regulatory requirements, and can operate effectively in a flexible, collaborative

Qualifications

• High School Diploma or GED required; bachelor's degree preferred.
• 5 years of claims management experience or equivalent.
• Licensing: FL or home state required.
• Knowledge of FL/GA/NC/SC/AL/AR/KY jurisdictions.

Responsibilities

• Analyze and process claims through action plans to a timely resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to the excess carrier and respond to directions professionally and promptly.

Skills

Claims management

Negotiation

Communication skills

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick Claims Management Services Ltd. is seeking a Claims Examiner for Workers Compensation in a Southeast-focused, hybrid role. You will analyze and adjudicate claims, negotiate settlements, and keep clients informed of claim progress.

A strong background in claims management and licensing in Florida or your home state is required. The ideal candidate has 5 years of experience, a solid understanding of regulatory requirements, and can operate effectively in a flexible, collaborative