# Claims Examiner - Workers Compensation

**Company**: Sedgwick
**Work arrangement**: hybrid
**Experience**: senior
**Job type**: full-time
**Salary**: $63-88K
**Category**: Insurance
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-FL/Claims-Examiner---Workers-Compensation---Jurisdiction--Southeast-states---Licensing--FL-required_R78223?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_75fd07e8-ace

## Description

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're looking for a Claims Examiner - Workers Compensation to join our team in the Southeast states, with a focus on Florida. As a Claims Examiner, you will apply your Workers Compensation & supervisory knowledge and experience to adjudicate complex customer claims.

**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.

**Essential Responsibilities May Include:**

- Analyzes and processes complex or technically difficult general liability 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.

- Manages the litigation process; ensures timely and cost-effective claims resolution.

- Coordinates vendor referrals for additional investigation and/or litigation management.

- Leads team meetings and assigns accountability for follow-up items.

- Gathers important compliance/claims processing information to be presented at team meetings.

- Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager.

- Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary.

**Supervisory Responsibilities:**

- Administers company personnel policies in all areas and follows company staffing standards and training recommendations.

- Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.

- Provides support, guidance, leadership, and motivation to promote maximum performance.

**Qualifications:**

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

- 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 in SE jurisdiction, FL experience necessary.

- Licensing: Required

**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:**

- 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

## Skills

### Required
- Workers Compensation
- claims management
- litigation management
- team leadership

### Nice to have
- professional certification
- Bachelor's degree

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Telecommuter-FL/Claims-Examiner---Workers-Compensation---Jurisdiction--Southeast-states---Licensing--FL-required_R78223?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)