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

Sedgwick • Atlanta, GA • 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

Summer 2026 Internal Audit Undergraduate Intern

Highmark Health • Atlanta, GA • 4h ago

Finance, Accounting & Banking

Company : Highmark Health Job Description : SUMMARY OF JOB RESPONSIBILITIES This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and t...

4h ago

Go to Apply

Finance Analyst - US Remote

CBRE • Atlanta, GA • 6h ago

Finance, Accounting & Banking

Finance Analyst - US Remote Job ID 236297 Posted 15-Sep-2025 Service line GWS Segment Role @type Full-time Areas of Interest Accounting/Finance Location(s) Remote - US - Remote - US - United States of America CBRE Global...

6h ago

Go to Apply

USA - EY-Parthenon - Corporate Finance - Quantitative Finance and Economics - Summer Associate 2026

EY • Atlanta, GA • 6h ago

Finance, Accounting & Banking

USA - EY-Parthenon - Corporate Finance - Quantitative Finance and Economics - Summer Associate 2026 1632650 CA-Los Angeles, CA-San Francisco, CA-San Jose, GA-Atlanta, IL-Chicago, NY-New York, VA-McLean apply At EY, we're...

6h ago

Go to Apply

USA - EY-Parthenon - Corporate Finance - Transaction Real Estate - Summer Associate 2026

EY • Atlanta, GA • 6h ago

Finance, Accounting & Banking

USA - EY-Parthenon - Corporate Finance - Transaction Real Estate - Summer Associate 2026 1633063 CA-Los Angeles, GA-Atlanta, IL-Chicago, NY-New York, TX-Dallas, TX-Houston apply At EY, we're all in to shape your future w...

6h ago

Go to Apply

USA - EY-Parthenon - Corporate Finance - Transaction Real Estate - Winter Associate 2026

EY • Atlanta, GA • 7h ago

Finance, Accounting & Banking

USA - EY-Parthenon - Corporate Finance - Transaction Real Estate - Winter Associate 2026 1643464 CA-Los Angeles, GA-Atlanta, IL-Chicago, NY-New York, TX-Dallas, TX-Houston apply At EY, we're all in to shape your future w...

7h ago

Go to Apply

USA - EY-Parthenon - Corporate Finance - Infrastructure Advisory - Summer Analyst 2026

EY • Atlanta, GA • 7h ago

Finance, Accounting & Banking

USA - EY-Parthenon - Corporate Finance - Infrastructure Advisory - Summer Analyst 2026 1632654 CA-Los Angeles, CO-Denver, DC-Washington, GA-Atlanta, IL-Chicago, NY-New York, VA-McLean apply At EY, we're all in to shape y...

7h ago

Go to Apply

USA - EY-Parthenon - Corporate Finance - Business Valuation - Summer Associate 2026

EY • Atlanta, GA • 7h ago

Finance, Accounting & Banking

USA - EY-Parthenon - Corporate Finance - Business Valuation - Summer Associate 2026 1632652 CA-Los Angeles, CA-San Francisco, CA-San Jose, GA-Atlanta, IL-Chicago, MA-Boston, NY-New York, TX-Dallas, TX-Houston, VA-McLean...

7h ago

Go to Apply

USA - EY-Parthenon - Corporate Finance - Capital Equipment - Summer Associate 2026

EY • Atlanta, GA • 7h ago

Finance, Accounting & Banking

USA - EY-Parthenon - Corporate Finance - Capital Equipment - Summer Associate 2026 1632653 CA-Los Angeles, GA-Atlanta, IL-Chicago, NY-New York, TX-Houston apply At EY, we're all in to shape your future with confidence. W...

7h ago

Go to Apply

Sr Accountant

Vestis Services • Roswell, GA • 10h ago

Finance, Accounting & Banking

Description Responsibilities / Essential Functions: Prepare journal entries for accruals, actual expenses, reserves, cash activity, and other general ledger transactions. Reconcile and analyze balance sheet accounts, ide...

10h ago

Go to Apply

2026 Capital Accounting Associate 1

Norfolk Southern • Atlanta, GA • 17h ago

Finance, Accounting & Banking

2026 Capital Accounting Associate 1 Apply now » Date: Sep 15, 2025 Location: Atlanta, GA, US, 30308 Company: Norfolk Southern Corp. Requisition39212:A1 Capital Accounting Associate A resume helps you stand out to hiring...

17h 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.