Claims Examiner - Workers Compensation | Jurisdiction: FL, GA,TN | Licensing: Home State Required (Hybrid)

Sedgwick • Chicago, IL

11d • Hybrid

About The Position

Sedgwick is hiring a Workers Compensation Claims Examiner to analyze workers compensation claims on behalf of clients and determine benefits due. The role involves ongoing claim adjudication in accordance with service expectations, industry best practices, and client-specific requirements. The position covers the jurisdictions of Florida, Georgia, and Tennessee and requires a home-state license. It is described as hybrid, with flexibility and autonomy in daily work and location.

Requirements

• High school diploma or GED required.
• Five years of claims management experience, or an equivalent combination of education and experience, required.
• Home-state license required.
• Knowledge of Florida, Tennessee, and Georgia jurisdictions.

Nice To Haves

• Bachelor’s degree from an accredited college or university preferred.
• Professional certification applicable to the line of business preferred.

Responsibilities

• Analyze and process claims using action plans to achieve appropriate and timely resolution.
• Investigate and gather information to determine claim exposure.
• Negotiate claim settlements within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to the excess carrier and respond to requests for direction professionally and promptly.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, and vision coverage.
• 401(k) and matching.
• Paid time off (PTO).
• Disability and life insurance.
• Employee assistance program.
• Flexible spending account or health savings account.
• Additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED