Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL required

About the Role

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.

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Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL required

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 & supervisory 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. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Responsibilities

• Analyze complex or technically difficult general liability claims to determine benefits due.
• Work with high exposure liability claims involving litigation and rehabilitation.
• Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
• Identify subrogation of claims and negotiate settlements.
• Provide backup for team lead when out of the office.
• Lead team meetings and assign accountability for follow-up items.
• Gather important compliance/claims processing information to be presented at team meetings.
• Assist in interviews of adjusters, clerical staff, and provide feedback to hiring manager.
• Provide limited assistance/support to team lead with monthly review of adjuster workloads; note trends and suggest adjustments when necessary.

Supervisory Responsibilities

• Administer company personnel policies in all areas and follow company staffing standards and training recommendations.
• Interview, hire, and establish colleague performance development plans; conduct colleague performance discussions.
• Provide support, guidance, leadership, and motivation to promote maximum performance.

Qualifications

• 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.

Skills

• Clear and conceptual thinking ability.
• Excellent judgment, troubleshooting, problem-solving, analysis, and discretion.
• Ability to handle work-related stress.
• Ability to handle multiple priorities simultaneously.
• Ability to meet deadlines.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.

Pay

For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($63K - $88K). 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.