Remote Workers' Comp Claims Examiner I

Sedgwick; Tallahassee (FL); Remote; USD 63,000 - 85,000; Full time

Job summary

Sedgwick, a global claims administrator, is seeking a driven Claims Examiner for Workers' Compensation to analyze and adjudicate claims remotely. The role emphasizes empathy, accountability, and delivering timely benefits while supporting clients across industries.

The position offers a remote work setup in the United States with opportunities for professional development and a comprehensive benefits package. You will join a leading team known for client service excellence.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• 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

Claims analysis

Negotiation

Communication

Customer service

Education

High School Diploma or GED

Bachelor’s degree (preferred)

Job description

Sedgwick, a global claims administrator, is seeking a driven Claims Examiner for Workers' Compensation to analyze and adjudicate claims remotely. The role emphasizes empathy, accountability, and delivering timely benefits while supporting clients across industries.

The position offers a remote work setup in the United States with opportunities for professional development and a comprehensive benefits package. You will join a leading team known for client service excellence.