Remote Workers' Comp Claims Examiner | Flexible Growth

Sedgwick; San Antonio (TX); Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career development

Health benefits (medical, dental, 401K

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims across multiple states within a hybrid/remote work arrangement. The role emphasizes accurate benefit determinations, adherence to service expectations, and collaboration with clients.

The ideal candidate has 5 years of claims management experience, licensing in CA/FL with preference for CA, and a bachelor’s degree or higher. Sedgwick offers flexible schedules, development opportunities, and a comprehensive benefits

Qualifications

• 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.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing: FL required, CA preferred
• Jurisdiction: CA, FL, GA, MS, MI, NJ, OK, PA, TN, TX, VI

Responsibilities

• Analyzing and processing workers' compensation claims to determine benefits and exposure.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients timely and professionally.
• Reporting claims to the excess carrier and responding to directions as needed.

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims across multiple states within a hybrid/remote work arrangement. The role emphasizes accurate benefit determinations, adherence to service expectations, and collaboration with clients.

The ideal candidate has 5 years of claims management experience, licensing in CA/FL with preference for CA, and a bachelor’s degree or higher. Sedgwick offers flexible schedules, development opportunities, and a comprehensive benefits