Remote Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; Florida; Hybrid; USD 65,000 - 81,000; Full time

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation. This remote role covers Southeast jurisdictional states, with licensing required in FL or your home state.

The position emphasizes analyzing claims, settlement negotiation, and client communication, within Sedgwick's strong service culture. Ideal candidates have 5 years of claims management experience, a high school diploma or GED, and a preferred bachelor's degree with industry certifications.

Qualifications

• Education: 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 determine exposure and resolve claims.
• 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 directions in a professional and timely manner.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation. This remote role covers Southeast jurisdictional states, with licensing required in FL or your home state.

The position emphasizes analyzing claims, settlement negotiation, and client communication, within Sedgwick's strong service culture. Ideal candidates have 5 years of claims management experience, a high school diploma or GED, and a preferred bachelor's degree with industry certifications.