Remote Workers’ Compensation Claims Examiner

Sedgwick; Austin (TX); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Remote work

Flexible schedule

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a skilled Workers' Compensation Claims Examiner to analyze Lost-Time claims for multiple jurisdictions. The role emphasizes adjudicating benefits due, meeting service expectations, and working with a global client base.

You’ll join a culture that values empathy, accountability, and growth. The ideal candidate will have 5+ years in claims management, heavy litigation experience, and licensing across DE, IL, LA, MO, NJ, OK, TN, TX.

Qualifications

• High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience.
• Heavy Litigation experience required.
• Jurisdiction knowledge: DE, IL, LA, MO, NJ, OK, TN, TX.
• Licensing: Home state plus DE, LA, OK, TX.

Responsibilities

• Analyzing and processing claims through well-developed action plans to resolution by investigating and gathering information.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity 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

Analytical thinking

Communication

Negotiation

Attention to detail

Education

High School diploma or GED

Bachelor’s degree preferred

Professional certification

Job description

Sedgwick is seeking a skilled Workers' Compensation Claims Examiner to analyze Lost-Time claims for multiple jurisdictions. The role emphasizes adjudicating benefits due, meeting service expectations, and working with a global client base.

You’ll join a culture that values empathy, accountability, and growth. The ideal candidate will have 5+ years in claims management, heavy litigation experience, and licensing across DE, IL, LA, MO, NJ, OK, TN, TX.