Sedgwick · 1 day ago
Claims Examainer - Workers Comp (REMOTE- License & FL, GA, SC, NC exp required)
United States
Full-time
Remote
Senior Level
5+ years expSedgwick is a global leader in the claims management industry, dedicated to providing meaningful support to clients facing unexpected challenges. The Claims Examiner for Workers Comp will analyze complex claims, manage litigation processes, and negotiate settlements while ensuring timely and effective claims resolution. This role offers flexibility and opportunities for professional development within a caring and inclusive culture.
BankingInsuranceRisk Management
Responsibilities
Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution
Negotiates settlement of claims within designated authority
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level
Prepares necessary state fillings within statutory limits
Manages the litigation process; ensures timely and cost effective claims resolution
Performs other duties as assigned
Supports the organization's quality program(s)
Travels as required
Qualification
Required
Five (5) years of Workers Compensation claims management experience or equivalent combination of education and experience required
Preferred
Bachelor's degree from an accredited college or university preferred
Benefits
Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
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