Remote Workers' Compensation Claims Examiner

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

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner for Workers Compensation with remote options in the Southeast US. The role analyzes claims to determine benefits, ensures adjudication within service expectations, and upholds client requirements. Excellent problem solving and communication are essential.

Qualifications include a high school diploma or GED, with a bachelor’s degree preferred and 5 years of claims experience. Florida licensing or home state licensing is required.

Qualifications

• 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.
• 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 to determine exposure and resolve timely.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions.

Skills

Claims management

Negotiation

Communication

Problem solving

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for Workers Compensation with remote options in the Southeast US. The role analyzes claims to determine benefits, ensures adjudication within service expectations, and upholds client requirements. Excellent problem solving and communication are essential.

Qualifications include a high school diploma or GED, with a bachelor’s degree preferred and 5 years of claims experience. Florida licensing or home state licensing is required.