Back to Jobs

Claims Examiner - Workers Compensation | Remote | Dedicated Client

Remote, USA Full-time Posted 2026-03-20
About the position 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 | Remote | Dedicated Client 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 knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. ARE YOU AN IDEAL CANDIDATE? 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. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Responsibilities • This position is meant to be a floater position - assisting the team during PTO and Leave of Absences. Special project work when floating not needed • 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. Requirements • 3 years of claims management experience or equivalent combination of education and experience required. • High School Diploma or GED required. Nice-to-haves • Bachelor's degree from an accredited college or university preferred. • Professional certification as applicable to line of business preferred. • Jurisdiction Knowledge: Nationwide Licensing: not required 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. • 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 (61,857.00 - 86,600). 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. Apply tot his job Apply To this Job

Similar Jobs

Experienced Customer Service Representative – Remote Full-Time Opportunity for Excellent Communicators and Problem-Solvers

Remote, USA Full-time

SQL Developer

Remote, USA Full-time

AI-Based Cybersecurity Research Intern

Remote, USA Full-time

[Remote] Venture Advisor (Equity position only)

Remote, USA Full-time

[Remote] Generative AI Annotation Operations Engineer

Remote, USA Full-time

Email Specialist – Data Review & Quality

Remote, USA Full-time

[Remote] Virtual Phone Sales Representative Virtual Phone Sales Representative

Remote, USA Full-time

Data Science and Analytics Senior Manager (Virtual)

Remote, USA Full-time

Experienced Customer Service Representative – Remote Work Opportunity for Travel Enthusiasts

Remote, USA Full-time

Senior Manager, CRM Systems Administration

Remote, USA Full-time

Entry Level Remote Data Entry Clerk and Research Participant Opportunity to Work from Home with Flexible Hours at blithequark

Remote, USA Full-time

**Experienced Customer Success Officer – Building Lasting Relationships and Delivering Exceptional Customer Experiences at arenaflex**

Remote, USA Full-time

Kindergarten Head Teacher (September 2025)

Remote, USA Full-time

Experienced Remote Data Entry Specialist for Teens – Flexible Hours and Competitive Pay at blithequark

Remote, USA Full-time

Urgently Need SP Simulation Teaching Associate-Flat Rate - PRN Day in USA

Remote, USA Full-time

Experienced Full-Time Hospice Care Nurse - Home Health and Hospice Services with Competitive Salary and Comprehensive Benefits Package

Remote, USA Full-time

Tesla Jobs Remote WFH Opportunities $25/Hour

Remote, USA Full-time

Experienced Live Chat Agent – Flexible Remote Work Opportunity in Customer Service with arenaflex

Remote, USA Full-time

No Phones Work from Home Jobs | Focused Quiet Work for $25-$35/hr

Remote, USA Full-time

Join Today: Customer Service Advisor Work From Home

Remote, USA Full-time