Claims Examiner - Workers Compensation (REMOTE - Southeast state exp preferred)

Sedgwick • Tampa, FL • 2h ago

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 - Southeast state exp preferred)

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? 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 : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and 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 clams within designated authority level.

Prepares necessary state fillings within statutory limits.

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

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

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.

Supports the organization's quality program(s).

Travels as required.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred.

Experience :

Five (5) years of Workers Compensation claims management experience or equivalent combination of education and experience required.

TAKING CARE OF YOU

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.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

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 just the right candidate for this or other roles.

Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com

Similar Jobs

Mortgage Pipeline Accounts Manager I

PennyMac • Tampa, FL • 3h ago

Finance, Accounting & Banking

PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integrated business focused on the production and servicing of U.S. mortgage loans and the management of in...

3h ago

Go to Apply

Treasury Staff Accountant

Raymond James Financial, Inc. • Saint Petersburg, FL • 10h ago

Finance, Accounting & Banking

Essential Duties and Responsibilities: Applies some advanced skills and procedures appropriate for the position within assigned functional area. Performs duties and tasks that are both routine and non-routine. Schedules,...

10h ago

Go to Apply

Accounts Payable Specialist

Robert Half • Clearwater, FL • 1d ago

Finance, Accounting & Banking

Description An established aviation manufacturing company is seeking an Accounts Payable Specialist to join their finance team on an interim basis. This role will provide essential support during fiscal year-end and work...

1d ago

Go to Apply

T&E Expense Analyst/Audit

Robert Half • Tampa, FL • 1d ago

Finance, Accounting & Banking

Description The T& E analyst is responsible for establishing the standard operating procedures for the review and auditing of expense reports for any out of compliance items. Work will include creating reports and da...

1d ago

Go to Apply

Banking, Capital Markets Strategy - Director

Accenture • Saint Petersburg, FL • 2d ago

Finance, Accounting & Banking

Why Accenture Strategy? In the world of strategy today, it is about the future, and in the future, digital technology is disrupting competitive landscapes and creating new opportunities for almost every organization. Thi...

2d ago

Go to Apply

SAP Finance Consultant, Senior Associate

PwC • Tampa, FL • 2d ago

Finance, Accounting & Banking

Specialty/Competency: SAP Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% At PwC, our people in business application consulting specialise in consulting services for a variety of busin...

2d ago

Go to Apply

Plan Chief Financial Officer

Centene Corporation • Tampa, FL • 2d ago

Finance, Accounting & Banking

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Applicants for this role must reside or be...

2d ago

Go to Apply

Security Officer - Bank Patrol - Unarmed

Allied Universal • Tampa, FL • 2d ago

Finance, Accounting & Banking

Allied Universal®, North America's leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse, and inclusive workplace, you will be pa...

2d ago

Go to Apply

Managed Services - Oracle ERP Implementation Testing (Banking Domain) - Senior Manager

PwC • Tampa, FL • 2d ago

Finance, Accounting & Banking

Specialty/Competency: Managed Services Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% At PwC, our people in software and product innovation focus on developing cutting-edge software s...

2d ago

Go to Apply

Oracle Cloud Finance - Manager

PwC • Tampa, FL • 3d ago

Finance, Accounting & Banking

Specialty/Competency: Oracle Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 40% A career in our Finance team, within our Oracle consulting practice, will provide you with the opportunity...

3d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.