Worker's Compensation Claims Examiner – Jurisdiction Experience: GA

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🔥 13 minutes ago

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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 Georgia Lost-Time claims on behalf of clients to determine benefits due • Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements • Analyze and process claims through action plans toward timely and appropriate resolution • Investigate and gather information to determine claim exposure • Negotiate claim settlements within designated authority • Communicate claim activity and processing with claimants and clients • Report claims to the excess carrier • Respond professionally and promptly to requests for directions • Collaborate with a global network of experts and share insights • Deliver customer-facing claims solutions to clients

🎯 Requirements

• 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 • 3–5 years of claims management experience or equivalent combination of education and experience required • Georgia jurisdiction knowledge required; additional multiple states preferred • Valid Worker’s Compensation license reciprocal with multiple jurisdictions required • Ability to analyze and process claims • Ability to investigate and gather claim exposure information • Ability to negotiate claim settlements within designated authority • Ability to communicate claim activity with claimants and clients • Clear and conceptual thinking ability • Excellent judgment, troubleshooting, problem-solving, analysis, and discretion • Ability to handle work-related stress and multiple priorities • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision benefits • 401K and matching from day one • Paid time off (PTO) • Disability and life insurance • Employee assistance program • Flexible spending account or health savings account • Additional voluntary benefits • Remote work flexibility and autonomy • Professional development opportunities

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