Workers' Comp Claims Examiner - Growth & Impact

Sedgwick Claims Management Services; Florida; Híbrido; USD 63 000 - 88 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental insurance

Vision insurance

401k with matching

PTO

Resumo da oferta

Sedgwick is seeking a Claims Examiner - Workers' Compensation in the Southeast with Florida licensing to join a global leader. You will analyze complex claims, determine benefits due, and collaborate with clients across industries to deliver timely, accurate resolutions.

This hybrid role offers ongoing professional development and a comprehensive benefits package along with a flexible work model to support work‑life balance.

Qualificações

• 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.
• Experience in SE jurisdiction, FL experience necessary.
• Licensing: Required

Responsabilidades

• 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 support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary.

Conhecimentos

Claims management

Analytical reasoning

Team supervision

Communication

Licensing knowledge

Formação académica

High School Diploma or GED

Bachelor's degree

Ferramentas

Office software

Descrição da oferta de emprego

Sedgwick is seeking a Claims Examiner - Workers' Compensation in the Southeast with Florida licensing to join a global leader. You will analyze complex claims, determine benefits due, and collaborate with clients across industries to deliver timely, accurate resolutions.

This hybrid role offers ongoing professional development and a comprehensive benefits package along with a flexible work model to support work‑life balance.