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Claims Examiner – Workers Compensation, FL License Required

🕒 September 18

🐊 Florida – Remote

infoinfo

💵 $63k - $88k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

Where this job comes from

Posted on Sedgwick's careers page, not through a job board

First seen by Remote Rocketship September 18

Still open on Sedgwick's site. Checked 54 minutes ago.

Logo of Sedgwick

Sedgwick

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze and process complex or technically difficult general liability claims • Investigate claims and gather information to determine claim exposure • Manage claims through action plans to timely and appropriate resolution • Manage the litigation process for timely and cost-effective resolution • Coordinate vendor referrals for investigation and litigation management • Lead team meetings and assign accountability for follow-up items • Gather compliance and claims processing information for team meetings • Assist with interviews of adjusters and clerical staff and provide feedback to the hiring manager • Support the team lead with monthly adjuster workload reviews, identify trends, and suggest adjustments • Provide backup for the team lead when out of office • Potentially supervise up to three direct reports • Administer personnel policies and follow staffing and training standards • Interview, hire, establish performance development plans, and conduct performance discussions • Provide support, guidance, leadership, and motivation to promote performance

🎯 Requirements

• 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 • Required licensing • Workers Compensation and supervisory knowledge and experience • Ability to analyze complex or technically difficult claims • Ability to investigate claims and determine exposure and benefits due • Ability to manage litigation and rehabilitation claims • Ability to identify subrogation and negotiate settlements • Ability to meet service expectations, industry best practices, and client requirements • Clear and conceptual thinking, excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress, multiple priorities, and deadlines • Computer keyboarding; hearing, vision, and talking

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Opportunity to work in an agile environment • Career development and promotional growth opportunities • Medical, dental, and vision coverage • 401K and matching • PTO • Disability and life insurance • Employee assistance • Flexible spending or health savings account • Other additional voluntary benefits • Flexible location and career path • Professional development opportunities

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