Claims Examiner - Workers Compensation | Public Entity Experience Required | Jurisdictions: Tx | Licensing: Tx Required

Sedgwick

Not specified; not specified; comprehensive benefi...
Hybrid
Workers compensation claims analysis
Litigation and rehabilitation management
Subrogation and recovery negotiation
Sedgwick is seeking a Claims Examiner for Workers Compensation with public entity experience, specifically in Texas. The role involves adjudicating complex claims, negotiating settlements, and ensuring compliance with industry standards, while promoting a supportive work culture and offering flexible work arrangements

Job Summary

  • The role involves analyzing complex workers' compensation claims to determine benefits due and managing litigation processes.
  • Candidates will negotiate settlements within designated authority and calculate timely reserves to ensure claim adequacy.
  • Sedgwick offers a hybrid work schedule, comprehensive benefits including medical and 401K, and opportunities for career growth.

Matching Summary

Match Score: 85

Sedgwick is seeking a Claims Examiner for Workers Compensation with public entity experience, specifically in Texas. The role involves adjudicating complex claims, negotiating settlements, and ensuring compliance with industry standards, while promoting a supportive work culture and offering flexible work arrangements.

Salary

Not specified; Not specified; Comprehensive benefits including medical, dental, vision, and 401K on day one

Skills & Requirements

Must-have

  • Workers compensation claims analysis
  • Litigation and rehabilitation management
  • Subrogation and recovery negotiation
  • Texas jurisdiction knowledge required
  • Complex claim investigation skills

Nice-to-have

  • Empathy and accountability values
  • Collaborative team environment
  • Growth mindset culture
  • Inclusive workplace practices
  • Strategic vendor partnerships

Key Requirements

  • 5 years of claims management experience
  • Texas Workers Compensation license required
  • Bachelor's degree preferred
  • Knowledge of TX, OK, and LA jurisdictions
  • Professional certification preferred

Work Rights

Not specified

Tailored Resume

Cover Letter