Worker's Compensation Claims Examiner | Jurisdiction Experience: GA | License:Required | Dedicated Client | Remote

Sedgwick; Athens (GA); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K on day one

Paid time off (PTO)

Job summary

Sedgwick in Georgia is seeking a Worker’s Compensation Claims Examiner with jurisdiction experience in GA and a required license. Remote work option is available as part of a global leader in claims management.

You will analyze Georgia Lost-Time claims, negotiate settlements within authority, and coordinate with claimants and clients. A High School Diploma or GED is required, plus 3–5 years of claims management experience.

Qualifications

• 3–5 years of claims management experience or equivalent combination of education and experience.

Responsibilities

• Analyze Georgia Lost-Time claims to determine benefits due.
• Investigate and gather information to assess exposure.
• Negotiate settlements within designated authority and communicate updates.

Skills

Claims adjudication

Georgia Lost-Time knowledge

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree

Job description

Fortune Best Workplaces in Financial Services & Insurance

Worker's Compensation Claims Examiner | Jurisdiction Experience: GA | License: Required | Dedicated Client | Remote

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

• Apply your Workers Compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

PRIMARY PURPOSE OF THE ROLE

To analyze Georgia Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements .

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.

Education & Licensing

High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Experience: 3 - 5 years of claims management experience or equivalent combination of education and experience required.

Flexible work schedule.

Benefits

• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.
• Excellent judgment, troubleshooting, problem solving, analysis, and discretion; Computer keyboarding.
• Auditory/Visual: Hearing, vision and talking.
• A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

#claimsexaminer #claims #LI-REMOTE

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.