Claims Examiner - Workers' Compensation | Jurisdiction: Southeast States | Licensing: Required - Remote

About the Role

Join Sedgwick, a global industry leader, and apply your knowledge and experience to adjudicate complex workers' compensation claims. You'll deliver innovative customer-facing solutions to clients across various industries, leveraging Sedgwick’s broad network of experts. This role offers flexibility, autonomy, and opportunities for professional growth within a caring and inclusive culture.

Responsibilities

• Analyze and process workers' compensation claims through well-developed action plans to ensure timely resolution.
• Investigate and gather information to determine claim exposure.
• Negotiate settlements within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to excess carriers and respond to their requests professionally and promptly.

Requirements

• High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience.
• Licensing required for Southeast states; home state licensing is mandatory.
• Professional certification applicable to the line of business is preferred.

Skills

• Clear and conceptual thinking ability with excellent judgment and problem-solving skills.
• Ability to handle work-related stress, multiple priorities, and meet deadlines.
• Strong communication and negotiation skills.
• Computer proficiency and ability to travel as required.

Benefits

• Flexible work schedule and remote work options.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Comprehensive benefits package including medical, dental, vision, and 401K with company matching from day one.
• Paid time off (PTO), disability and life insurance, employee assistance programs, flexible spending or health savings accounts, and additional voluntary benefits.

Pay

For the jurisdiction noted in this job posting, the range of starting pay for this role is $65,000 to $80,000 annually. Actual compensation is influenced by factors such as skill set, level of experience, and specific location.