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Sedgwick
Sedgwick
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Sedgwick provides technology-enabled risk, benefits, and integrated business solutions for organizations worldwide. Its work includes administering accident, health, disability, unemployment compensation, and liability claims, alongside building consulting, forensic accounting, forensic engineering, property restoration, brand protection, and loss prevention services. Sedgwick supports clients across industries including construction, consulting, healthcare, agriculture, and environmental services, with a stated focus on diversity, equity, inclusion, and environmental, social, and governance practices.
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Remote Workers' Compensation Claims Examiner – Georgia Jurisdiction

Sedgwick is seeking a remote workers' compensation claims examiner to adjudicate Georgia lost-time claims for insurance clients. The role involves investigating exposure, negotiating settlements, and managing claims through resolution.

USUnited StatesALAlabamaCTConnecticutFLFloridaILIllinoisIAIowaKSKansasKYKentuckyLALouisianaMEMaineMDMarylandMAMassachusettsMIMichiganMNMinnesotaMSMississippiMOMissouriNHNew HampshireNJNew JerseyNYNew YorkNCNorth CarolinaOHOhioOKOklahomaPAPennsylvaniaRIRhode IslandSCSouth CarolinaTNTennesseeTXTexasVTVermontVAVirginiaWIWisconsin
$70,000 – $75,000 / year
RemoteFull-timeMiddleSeniorEnglish RequiredClaims Specialist

Description

  • Assess Georgia lost-time claims for clients and determine benefits due
  • Adjudicate claims continuously in line with service standards, industry practices, and client requirements
  • Process claims using action plans to achieve timely, appropriate resolutions
  • Investigate claims and collect information needed to assess exposure
  • Negotiate settlements within assigned authority
  • Keep claimants and clients informed about claim activity and processing
  • Report claims to excess carriers
  • Address direction requests promptly and professionally
  • Work with a global expert network and exchange insights
  • Provide client-facing claims solutions

Requirements

  • High school diploma or GED is required
  • Bachelor's degree from an accredited college or university is preferred
  • Professional certification relevant to the line of business is preferred
  • Three to five years of claims management experience, or an equivalent combination of education and experience, is required
  • Knowledge of the Georgia jurisdiction is required; experience across additional states is preferred
  • A valid workers' compensation license reciprocal with multiple jurisdictions is required
  • Ability to analyze and process claims
  • Ability to investigate claims and collect exposure information
  • Ability to negotiate settlements within assigned authority
  • Ability to communicate claim activity with claimants and clients
  • Clear, conceptual thinking skills
  • Strong judgment, troubleshooting, problem-solving, analytical, and discretionary skills
  • Ability to manage work-related stress and competing priorities
  • Ability to meet deadlines
  • Computer keyboarding proficiency
  • Ability to hear, see, and speak effectively

Benefits

  • Flexible work schedule
  • Employee referral incentive program
  • Career development and advancement opportunities
  • Medical, dental, and vision coverage
  • 401(k) with matching contributions from the first day
  • Paid time off
  • Disability and life insurance
  • Employee assistance program
  • Flexible spending account or health savings account
  • Additional voluntary benefits
  • Flexible, autonomous remote work
  • Professional development opportunities

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USUnited StatesALAlabamaAZArizonaFLFloridaIDIdahoKSKansasMEMaineMIMichiganMSMississippiMOMissouriNMNew MexicoNCNorth CarolinaOKOklahomaPAPennsylvaniaSCSouth CarolinaTNTennesseeTXTexasVAVirginiaWVWest VirginiaWIWisconsinRemoteFull-timeJuniorMiddleEnglish RequiredRecruitment

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