Remote Workers' Comp Claims Examiner – Impact & Growth

Sedgwick; Austin (TX); Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career growth

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with remote work options across multiple jurisdictions. The role focuses on processing low-level claims, determining benefits, and coordinating action plans with clients and claimants.

Ideal candidates bring claims management experience, a relevant certification, and a commitment to Sedgwick’s values of empathy and collaboration. The job offers flexible scheduling and comprehensive benefits.

Qualifications

• 5 years of claims management experience or equivalent.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Process low level workers' compensation claims determining compensability and benefits.
• Develops action plans to resolution and return-to-work; approve claim payments.
• Approve and process assigned claims; determine benefits due; administer action plans.
• Administer subrogation and negotiate settlements.
• Communicates claim actions with claimants and clients.
• Ensures claim files are properly documented and coding is correct.
• May process low-level medical claims including state filings and treatments.
• Maintains professional client relationships.

Skills

Claims management

Subrogation

Education

High School Diploma or GED

Bachelor's degree preferred

Certification relevant to line of business preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with remote work options across multiple jurisdictions. The role focuses on processing low-level claims, determining benefits, and coordinating action plans with clients and claimants.

Ideal candidates bring claims management experience, a relevant certification, and a commitment to Sedgwick’s values of empathy and collaboration. The job offers flexible scheduling and comprehensive benefits.