Claims Examiner – Workers Compensation

Sedgwick

. Analyze workers compensation claims on behalf of valued clients to determine benefits due .

Posted 9/17/2026full-timeRemote • Alabama • United StatesMid-LevelSenior💰 $80,000 - $100,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and managing workers compensation claims, ensuring compliance with industry best practices and client service requirements. Proficient in negotiating settlements and communicating effectively with claimants and clients while maintaining jurisdiction knowledge.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsJurisdiction KnowledgeProfessional CertificationProblem Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingAdjudicationAction PlansClaim InvestigationSettlement NegotiationReportingComputer Keyboarding

Soft Skills

Clear ThinkingExcellent JudgmentTroubleshootingDiscretionStress ManagementMultitaskingDeadline Management

Certifications & Qualifications

Professional Certification

Industry Keywords

Workers CompensationClaims AdjudicationClient Service RequirementsExcess CarriersJurisdiction Knowledge: MS, AR, AL, TN, GA, KYLicensing in MS, AR

About the role

Key responsibilities & impact

Analyze workers compensation claims on behalf of valued clients to determine benefits due
Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements
Analyze and process claims through action plans to timely 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 excess carriers
Respond professionally and timely to requests for directions

Requirements

What you’ll need

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
5 years of claims management experience or equivalent combination of education and experience required
Jurisdiction knowledge: MS, AR, AL, TN, GA, KY
Licensing in MS, AR, or a reciprocal state required
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress
Ability to handle multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding
Hearing, vision, and talking

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
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
Reasonable accommodations when applicable and appropriate