Workers’ Compensation Claims Careers – Representative, Examiner & Team Leads

About the role

Sedgwick is growing and building a pipeline of talented claims professionals across multiple career levels—from entry-level Claims Assistants to experienced Claims Examiners and supervisory positions. This is an exciting opportunity to join a growing team and play a key role in delivering high-quality claims service for a new client partnership. We are hiring across several levels, with placement determined based on your experience, skills, and career progression.

Responsibilities

Claims Representative

• Process low-level workers’ compensation claims to determine benefits due
• Ensure ongoing adjudication within company standards and industry best practices
• Identify subrogation opportunities
• Negotiate settlements with general supervision
• Review coverage, assess damages, and determine liability within authority limits

Claims Examiner (Advanced Level)

• Analyze complex or technically difficult workers’ compensation claims to determine benefits due
• Handle high-exposure claims involving litigation and rehabilitation
• Ensure ongoing adjudication within service expectations, industry best practices, and specific client requirements
• Identify subrogation opportunities and negotiate settlements
• Conduct in-depth investigations and make coverage determinations

Claims Team Lead (Supervisory)

• Supervise multiple teams of examiners and technical staff
• Monitor workloads, provide training, and oversee individual claim activities
• Offer technical and jurisdictional guidance on claims adjudication
• Maintain diaries for team claims, including frequent updates on complex or high-exposure cases

Requirements

• Georgia (GA) licensing required for all roles
• Claims Representative: Two (2) years of workers’ compensation claims management experience
• Claims Examiner: Five (5) years of workers’ compensation claims management experience
• Claims Team Lead: Six (6) years of claims experience, including two (2) years in a supervisory role

Benefits

• Flexible work schedule
• Referral incentive program
• Career development and advancement opportunities
• Comprehensive benefits package, including medical, dental, vision, and a 401(k) starting on day one