Claims Examiner – Workers Compensation, Dedicated Support, Jurisdiction: Non-Resident States, Licensing: TX/FL

Sedgwick

. Analyze Workers Compensation claims on behalf of clients to determine benefits due .

Posted 10/13/2026full-timeChicago • Illinois • United StatesMid-LevelSenior💰 $70,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and processing Workers Compensation claims, ensuring timely resolution and adherence to industry best practices. Proficient in negotiation and communication with claimants and clients while managing multiple priorities effectively.

Highest-signal resume keywords

Claims Management ExperienceWorkers Compensation Claims AnalysisNegotiation SkillsProblem SolvingTX or FL License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingInvestigation SkillsNegotiationComputer Keyboarding

Soft Skills

Excellent JudgmentTroubleshootingDiscretionAbility to Handle Work-Related StressTime Management

Certifications & Qualifications

Professional Certification

Industry Keywords

Workers CompensationAdjudicationSettlement NegotiationNon-Resident StatesClient Service Requirements

About the role

Key responsibilities & impact

Analyze Workers Compensation 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 to timely resolution
Investigate claims and gather information to determine exposure
Negotiate settlement of claims within designated authority
Communicate claim activity and processing with claimants and clients
Report claims to the excess carrier
Respond to requests for directions professionally and in a timely manner

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
Knowledge of non-resident states
TX or FL or non-resident state license preferred
Ability to analyze, investigate, and process workers compensation claims
Negotiation skills for claim settlements within designated authority
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress and multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding
Travel as required

Benefits

Comp & perks

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 on day one
401k matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Hybrid schedule for candidates residing within 25 miles of a Sedgwick office: 2 days in the office and 3 days working from home
Fully remote/work-from-home arrangement may be considered for candidates residing outside the 25-mile radius