Remote Workers' Comp Claims Specialist

Sedgwick

Florida

Hybrid

USD 65,000 - 81,000

Full time

6 days ago

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Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation to analyze and adjudicate claims for clients across the Southeast. You will determine benefits due, communicate with claimants and clients, and negotiate settlements within authority.

This role supports a hybrid/remote work model with licensing in FL or your home state and jurisdiction knowledge including FL, GA, NC, SC, AL, AR, KY. We offer a comprehensive benefits package, opportunities for development, and a caring culture that

Qualifications

Education & Licensing: 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.
Experience: 5 years of claims management experience or equivalent combination of education and experience required.
Licensing: FL or home state required.
Jurisdiction Knowledge: FL, GA, NC, SC, AL, AR, KY

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.