Workers Compensation Claims Examiner – Dedicated Client, FL Required
Sedgwick
Posted: 10/20/2026
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All Care To You
Posted: 10/7/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and processing workers compensation claims, negotiating settlements, and communicating effectively with clients and claimants. Possesses strong judgment and problem-solving skills to manage claims within regulatory frameworks and service expectations.
Highest-signal resume keywords
Claims Management ExperienceWorkers Compensation Claims AnalysisNegotiation of Claim SettlementsFlorida LicensingJurisdiction Knowledge: FL, DE, MD, VA
About the role
Key responsibilities & impact- Analyze lost-time 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 claim exposure
- Negotiate claim settlements within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to excess carriers
- Respond to requests for directions professionally and promptly
- Leverage Sedgwick's global network of experts and share insights
- Participate in professional development opportunities
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: FL, DE, MD, VA
- Florida licensing required
- Ability to analyze and process workers compensation claims
- Ability to investigate claims and gather information to determine exposure
- Ability to negotiate claim settlements within designated authority
- Ability to communicate claim activity and processing with claimants and clients
- Ability to report claims to excess carriers and respond to requests for directions
- 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
- Hearing, vision, and talking
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 on day one
- 401K on day one
- 401K matching
- Paid time off (PTO)
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid or remote work flexibility depending on commuting distance
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisClaims ProcessingInvestigation of ClaimsNegotiation SkillsReporting to Excess CarriersComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentProblem SolvingAbility to Handle StressTime Management
Certifications & Qualifications
Professional Certification in Line of Business
Industry Keywords
Workers CompensationAdjudicationClient Service RequirementsAction PlansClaim Exposure