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Claims Examiner - Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN Remote

Remote / Online - Candidates ideally in
Jackson, Hinds County, Mississippi, 39203, USA
Listing for: Sedgwick
Remote/Work from Home position
Listed on 2026-07-04
Job specializations:
  • Insurance
    Insurance Claims, Insurance Analyst, Risk Manager/Analyst, Insurance Agent
Salary/Wage Range or Industry Benchmark: 80000 - 92000 USD Yearly USD 80000.00 92000.00 YEAR
Job Description & How to Apply Below
Position: Claims Examiner - Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN - Required  (Remote)
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Examiner
- Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN
- 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?

+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. 



** ARE YOU AN IDEAL CANDIDATE?
** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

** PRIMARY PURPOSE OF

THE ROLE
** 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 **.*
* ** ESSENTIAL RESPONSIBLITIES MAY INCLUDE*
* + 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.



** QUALIFICATIONS*
* Education & Licensing:
High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience:

5 years of claims management experience or equivalent combination of education and experience required.

** Licensing: FL. GA, TN*
* ** Jurisdiction Knowledge: FL,TN,CA,GA*
* ** TAKING CARE OF YOU*
* + 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, 401K on day one.

** WORK ENVIRONMENT REQUIREMENTS*
* ** INCLUDE*
* 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,  
** travel as required*
* Auditory/Visual:
Hearing, vision and talking

_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. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (_  
** _ $80,000.00-$92,000.00_*
* ** _)_
** _. A comprehensive benefits package is offered 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._    _Always accepting applications_

claims examiner #claims #hybrid #LI-REMOTE

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair…
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