Remote Workers' Compensation Claims Examiner I

Sedgwick; Austin (TX); Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick is a global leader in risk and claims administration and is seeking a Claims Examiner for Workers’ Compensation. You will analyze and adjudicate complex claims, determine benefits due, and ensure service expectations and client requirements are met in a collaborative, fast-paced culture.

This role supports flexible work arrangements and a comprehensive benefits package while offering ongoing professional development and growth opportunities within a respected industry leader.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

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

Workers' compensation knowledge

Claims adjudication

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is a global leader in risk and claims administration and is seeking a Claims Examiner for Workers’ Compensation. You will analyze and adjudicate complex claims, determine benefits due, and ensure service expectations and client requirements are met in a collaborative, fast-paced culture.

This role supports flexible work arrangements and a comprehensive benefits package while offering ongoing professional development and growth opportunities within a respected industry leader.