Claims Examiner - Workers Compensation | Jurisdiction: Multi States | Licensing: IA, TX or FL

Sedgwick • West Des Moines, IA

12d • $80,000 - $100,000

About The Position

The Claims Examiner analyzes workers compensation claims on behalf of clients to determine benefits due, while ensuring ongoing adjudication within service expectations, industry best practices, and client-specific service requirements. The role involves investigating claims, developing action plans, evaluating exposure, negotiating settlements within designated authority, communicating with claimants and clients, and reporting claims to excess carriers. The position requires licensing in Iowa, Texas, or Florida.

Requirements

• High school diploma or GED.
• Five years of claims management experience, or an equivalent combination of education and experience.
• Must be licensed in Iowa, Texas, or Florida.

Nice To Haves

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

Responsibilities

• Analyze and process claims through well-developed action plans to achieve appropriate and timely resolution.
• Investigate claims 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 professionally and promptly to requests for directions.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, and vision benefits.
• 401(k) and matching, available on day one.
• Paid time off.
• Disability and life insurance.
• Employee assistance program.
• Flexible spending 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