Senior Workers' Comp Claims Examiner

Sedgwick; Kansas City (MO); On-site; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Medical, dental, vision benefits

401K on day one

Job summary

Sedgwick in Missouri is seeking a seasoned Claims Examiner to analyze Lost-Time Workers' Compensation claims for clients across industries. You will adjudicate benefits, investigate exposures, and coordinate with claimants, clients and carriers to reach timely resolutions.

This role requires strong litigation experience, jurisdiction knowledge, and licensing requirements, supporting a collaborative, client-focused culture with flexible schedules and robust 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.
• 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 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

Claims management

Litigation experience

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification preferred

Job description

Sedgwick in Missouri is seeking a seasoned Claims Examiner to analyze Lost-Time Workers' Compensation claims for clients across industries. You will adjudicate benefits, investigate exposures, and coordinate with claimants, clients and carriers to reach timely resolutions.

This role requires strong litigation experience, jurisdiction knowledge, and licensing requirements, supporting a collaborative, client-focused culture with flexible schedules and robust benefits.