Worker's Compensation Claims Examiner – Jurisdiction Experience: GA

Sedgwick

. Analyze Georgia Lost-Time claims on behalf of clients to determine benefits due .

Posted 10/6/2026full-timeRemote • United StatesMid-LevelSenior💰 $70,000 - $75,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims management, including analyzing and processing claims, negotiating settlements, and communicating effectively with clients and claimants. Possesses strong knowledge of Georgia jurisdiction and holds a valid Worker’s Compensation license.

Highest-signal resume keywords

Claims Management ExperienceGeorgia Jurisdiction KnowledgeWorker’s Compensation LicenseNegotiation SkillsAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingInvestigation SkillsNegotiationProblem-SolvingJudgmentComputer Keyboarding

Soft Skills

Clear ThinkingCommunicationStress ManagementTime Management

Certifications & Qualifications

Professional Certification

Industry Keywords

Lost-Time ClaimsClient ServiceExcess Carrier ReportingAction PlansCustomer-Facing Solutions

About the role

Key responsibilities & impact

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

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
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

Comp & perks

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