Worker's Compensation Claims Examiner | Jurisdiction Experience: GA | License: Required | Dedicated Client | Remote
Sedgwick · AL, US
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About the Role
Analyze Georgia Lost-Time claims on behalf of valued clients to determine benefits due, ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements. Be part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Responsibilities
- Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiate settlement of claims within designated authority.
- Communicate claim activity and processing with the claimant and the client.
- Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.
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.
- GA jurisdiction knowledge required; additional multiple states preferred.
- Valid Worker’s Compensation license that is reciprocal with multiple jurisdictions required.
Skills
- Workers Compensation knowledge
- Claims adjudication
- Customer-facing solutions
- Problem solving
- Analysis
- Judgment
- Troubleshooting
- Discretion
- Handling work-related stress
- Handling multiple priorities simultaneously
- Meeting deadlines
- Computer keyboarding
- Hearing
- Vision
- Talking
Location
- Remote
Work Type
- Remote
- Full-time
Experience Level
- 3-5 years
Education Level
- High School Diploma or GED
- Bachelor's degree preferred
Salary/Compensations
- $70,000 - $75,000
Benefits
- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Medical
- Dental
- Vision
- 401K on day one
- 401K and matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
About the Company
- Sedgwick is a global industry leader.
- 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.
Equal Opportunity
- Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
- Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.