Remote Workers' Compensation Claims Examiner

Sedgwick; Jacksonville (FL); Remote; USD 65,000 - 81,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and growth

Medical, dental, Vision, 401K and more

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with remote work options across the Southeast. The role analyzes claims, determines benefits due, and adjudicates to meet client service requirements while leveraging a global network of experts.

Ideal candidates have a high school diploma or GED (Bachelor’s preferred), 5 years of claims management, and FL or home-state licensing. We offer flexible schedules, development opportunities, and comprehensive benefits.

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.

Skills

5 years claims management

Jurisdiction knowledge

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification as applicable

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation with remote work options across the Southeast. The role analyzes claims, determines benefits due, and adjudicates to meet client service requirements while leveraging a global network of experts.

Ideal candidates have a high school diploma or GED (Bachelor’s preferred), 5 years of claims management, and FL or home-state licensing. We offer flexible schedules, development opportunities, and comprehensive benefits.