Remote Workers’ Comp Claims Examiner — Flexible & Impactful

Sedgwick; Austin (TX); Remote; USD 63,000 - 89,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive

Agile environment

Career development

Benefits package including medical, 4-

Job summary

Sedgwick is seeking a Claims Examiner - Workers Compensation for remote work. You will analyze and adjudicate complex WC claims for clients, determine benefits due, and ensure adjudication aligns with client service requirements and industry best practices.

The role emphasizes flexibility, autonomy, and a path for career growth within a globally recognized leader in claims management. A comprehensive benefits package and ongoing development opportunities are provided.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• Home state license required, Southeast States.

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

WC claims adjudication

Negotiation

Client communication

Education

Bachelor's degree preferred

High School Diploma or GED required

Tools

MS Office

Job description

Sedgwick is seeking a Claims Examiner - Workers Compensation for remote work. You will analyze and adjudicate complex WC claims for clients, determine benefits due, and ensure adjudication aligns with client service requirements and industry best practices.

The role emphasizes flexibility, autonomy, and a path for career growth within a globally recognized leader in claims management. A comprehensive benefits package and ongoing development opportunities are provided.