Claims Examiner - Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN - Required (Remote)
About The Position
This role involves analyzing Workers Compensation claims on behalf of clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. The ideal candidate will embody Sedgwick's caring counts model and core values, including empathy, accountability, collaboration, growth, and inclusion. Sedgwick is a global industry leader known for its excellence and customer service, offering an opportunity to bring big ideas to help solve problems for some of the world's best brands.
Requirements
- High School Diploma or GED required.
- 5 years of claims management experience or equivalent combination of education and experience required.
- FL, GA, TN Licensing required.
- Jurisdiction Knowledge: FL,TN,CA,GA
Nice To Haves
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
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.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- Medical, dental, vision, 401K on day one.
- Comprehensive benefits package 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
