Claims Adjuster - Workers Compensation | Jurisdiction: FL, AZ, TN | Licensing: FL Required - Remote
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work‑life balance. Here, there’s no limit to what you can achieve.
Primary Purpose of the Role
To analyze workers compensation 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.
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.
Qualifications
- Education & Licensing: High School Diploma or GED required; Bachelor’s degree preferred; professional certification as applicable to line of business preferred; FL licensing required.
- Experience: 4 years of claims management experience or equivalent combination of education and experience.
- Jurisdiction Knowledge: FL, AZ, TN.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Diverse and comprehensive benefits offering including medical, dental, vision, 401(k) on day one, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits.
Pay
Starting pay range for this role in the specified jurisdiction is $55,000–$71,000, influenced by factors such as skill set, experience, and location.
Schedule
Flexible work schedule; remote work available.
Work Environment Requirements
- Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, discretion; ability to handle work‑related stress; ability to handle multiple priorities simultaneously; ability to meet deadlines.
- Physical: Computer keyboarding, travel as required.
- Auditory/Visual: Hearing, vision and talking.
- Reasonable accommodations will be considered when applicable and appropriate.