Senior Workers' Compensation Claims Examiner

Sedgwick; United States; Hybrid; USD 63,000 - 88,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits on day one

Job summary

Sedgwick invites you to join a global leader in claims management. The role focuses on analyzing complex workers' compensation claims, coordinating litigation and vendors, and supporting a collaborative team with strong leadership and process discipline.

Ideal candidates bring years of claims experience, jurisdiction knowledge for the SE region, and a commitment to efficient, compliant outcomes within a flexible, supportive work culture.

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• 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.
• Jurisdiction Knowledge: Experience in SE jurisdiction, FL experience necessary.
• Licensing: Required

Responsibilities

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Manages the litigation process; ensures timely and cost-effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Leads team meetings and assigns accountability for follow-up items.
• Gathers important compliance/claims processing information to be presented at team meetings.
• Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager.
• Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports.

Skills

Claims analysis

Litigation coordination

Vendor coordination

Team leadership

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick invites you to join a global leader in claims management. The role focuses on analyzing complex workers' compensation claims, coordinating litigation and vendors, and supporting a collaborative team with strong leadership and process discipline.

Ideal candidates bring years of claims experience, jurisdiction knowledge for the SE region, and a commitment to efficient, compliant outcomes within a flexible, supportive work culture.