Claims Examiner - Workers Compensation | Jurisdiction: Southeast States | Licensing

Job Overview

Claims Examiner – Workers Compensation. Jurisdiction:
Southeast States. Licensing required. Remote.

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

Apply your Workers Compensation examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

• 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 direction in a professional and timely manner.

• Education & Licensing:
  High School Diploma or GED required. Bachelor’s degree from an accredited college or university preferred. Professional certification applicable to line of business preferred.
• Experience:
  
  5 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge:
  Home state and Southeast States: AL, AR, MS, TN
  .

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, and 401K on day one.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($63,404.00 – $88,765.00 USD Annual). A comprehensive benefits package is offered including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:
Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work‑related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.

Physical:
Computer keyboarding.

Auditory/Visual:
Hearing, vision and talking.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be the right candidate for this or other roles.