Workers' Comp Claims Examiner - Flexible Schedule & Growth

Sedgwick; Austin (TX); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长机会

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Workers' Compensation Claims Examiner to adjudicate complex Lost-Time claims for multiple clients across several jurisdictions, including TX. The role emphasizes analytical reviews, timely settlements, and clear communication with claimants and clients.

Ideal candidates have 5 years of claims management experience, heavy litigation exposure, and licensing in relevant states. Sedgwick offers flexible schedules and a broad benefits package while supporting remote work.

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

Analytical skills

Negotiation

Communication skills

Litigation experience

Education

High School Diploma or GED

Bachelor's degree

Professional certification (as applicable)

Job description

Sedgwick is seeking a Workers' Compensation Claims Examiner to adjudicate complex Lost-Time claims for multiple clients across several jurisdictions, including TX. The role emphasizes analytical reviews, timely settlements, and clear communication with claimants and clients.

Ideal candidates have 5 years of claims management experience, heavy litigation exposure, and licensing in relevant states. Sedgwick offers flexible schedules and a broad benefits package while supporting remote work.