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

Sedgwick•Las Vegas, NV

21d

About The Position

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. Placement will be determined based on your experience, skills, and career progression.

Requirements

Two (2) years of workers’ compensation claims management experience
Georgia (GA) licensing required
Five (5) years of workers’ compensation claims management experience
Six (6) years of claims experience, including two (2) years in a supervisory role

Responsibilities

Process low-level workers’ compensation claims to determine benefits due; ensure ongoing adjudication within company standards and industry best practices; identify subrogation opportunities; and negotiate settlements with general supervision. Review coverage, assess damages, and determine liability within authority limits.
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.
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.