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  1. Home
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  5. Claims Examiner - Workers Compensation | Floater on Dedicated Account | Multi State Jurisdiction | Reciprocal License preferred (Remote)
Sedgwick logo

Claims Examiner - Workers Compensation | Floater on Dedicated Account | Multi State Jurisdiction | Reciprocal License preferred (Remote)

Not Disclosed•Full-TimeRemote

location_onCarlos Gilbert Elementary School, 300, Griffin Street, Santa Fe, Santa Fe County, New Mexico, 87501, United States

Apply Now

About Sedgwick

By joining Sedgwick, you'll be part of something truly meaningful. As the world's leading risk and claims administration partner, we help clients thrive by navigating the unexpected. Our expertise, combined with advanced AI-enabled technology, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, we provide unmatched perspective and "caring that counts" in a rapidly changing risk landscape.

We are recognized as America's Greatest Workplaces, a Great Place to Work® Certified company, and a Fortune Best Workplace in Financial Services & Insurance. Here, there's no limit to what you can achieve in a culture built on empathy, accountability, collaboration, growth, and inclusion.

About the Role

As a Claims Examiner specializing in Workers' Compensation, you will serve as a Floater on a dedicated account with a multi-state jurisdiction focus. This role exists to analyze complex and technically difficult claims, ensuring timely and appropriate resolutions for some of the world's most respected organizations.

In this position, you will bring your big ideas to solve problems for our global clients. You will adjudicate claims involving high exposure, litigation, and rehabilitation, leveraging Sedgwick's broad, global network of experts to both learn from and share your insights. You will enjoy flexibility and autonomy in your daily work, location, and career path, while delivering innovative customer-facing solutions.

Hiring Process

If you're excited about this role but your experience doesn't align perfectly with every qualification, consider applying anyway. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Culture & Commitment

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We are committed to providing a diverse and comprehensive benefits offering to take care of your mental, physical, financial, and professional needs, including medical, dental, vision, 401(k) with matching, PTO, disability and life insurance, and an employee assistance program.

For more information, visit sedgwick.com.

Work location

Work model: Remote

location_on

Carlos Gilbert Elementary School, 300, Griffin Street, Santa Fe, Santa Fe County, New Mexico, 87501, United States

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Key Responsibilities

  • check_circleCoordinate vendor referrals for additional investigation and litigation management
  • check_circleAnalyze and process complex workers' compensation claims to determine exposure and benefits due
  • check_circleManage claim recoveries including subrogation, Second Injury Fund, and Medicare offsets
  • check_circleManage the litigation process to ensure timely and cost-effective claim resolution
  • check_circleNegotiate claim settlements within designated authority levels
  • check_circleEnsure claim files are properly documented and coding accuracy is maintained
  • check_circleCalculate and assign timely reserves while managing adequacy throughout the claim lifecycle
  • check_circleCommunicate claim activity with claimants and clients while maintaining professional relationships
  • check_circlePrepare and submit necessary state filings within statutory limits

Requirements

  • verifiedBachelor's degree from an accredited college or university preferred
  • verifiedProfessional certification as applicable to line of business preferred
  • verifiedFive (5) years of claims management experience or equivalent combination of education and experience required
  • verifiedJurisdiction knowledge: 32 states
  • verifiedTX/ FL or reciprocal license preferred

Nice to Have

Bachelor's degree from an accredited college or university. Professional certification as applicable to line of business. Reciprocal license.

Benefits & Perks

check_circleMedical, dental, and vision insurancecheck_circle401(k) retirement plan available on day onecheck_circleDisability and life insurance coveragecheck_circleEmployee assistance programcheck_circleFlexible spending account or health savings accountcheck_circleReferral incentive programcheck_circleFlexible work schedule and remote work options
Sedgwick logo
Company

Sedgwick

Industry

Accounting & Finance

View company profilearrow_forwardlanguageWebsite
Quick Overview

Experience

5+ yrs (Mid Level)

Education

Bachelor's degree from an accredited college or university preferred

Job Type

Full-Time

Skills Required

Workers' CompensationClaims ManagementLitigationSubrogationSocial SecurityMedicare Offsets
Not Disclosed
arrow_forward
Recrutus

Curating the world's most innovative career opportunities. We bridge the gap between visionary talent and industry-leading companies.

Search roles by city, category, skill, or job type — explore verified employers, salary benchmarks, and remote-friendly teams across India and beyond.

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Job seekers
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Top states
Jobs in TexasJobs in New YorkJobs in CaliforniaJobs in FloridaJobs in TennesseeJobs in VirginiaAll states →
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Popular skills
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About usFAQContactPrivacy policyUS privacy notice

Recrutus helps candidates discover roles that match their skills and helps teams reach qualified applicants faster. Browse by metro, discipline, or work style — from internships to senior leadership.

© 2026 Recrutus. All rights reserved.
Terms of serviceCookie policyAcceptable useDMCA policyEmployer termsCandidate terms
TX License
FL License
Reciprocal License
Accessibility