Claims Examiner – Workers Compensation I

Sedgwick

Claims Examiner handling workers compensation claims for global clients. Analyzing claims, negotiating settlements, and ensuring service expectations are met.

Posted 5/8/2026full-timeRemote • Illinois, Minnesota, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $63,404 - $89,000 per yearWebsite

About the role

Key responsibilities & impact

To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Negotiating settlement of claims within designated authority.
Communicating claim activity and processing with the claimant and the client.
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements

What you’ll need

5 years of claims management experience or equivalent combination of education and experience required.
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.
Licensing / Jurisdiction Knowledge: IL, MN, IN, WI

Benefits

Comp & perks

Flexible work schedule.
Referral incentive program.
Opportunity to work in an agile environment.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims managementclaims processingnegotiationadjudicationinvestigationreporting

Soft Skills

communicationanalytical thinkingproblem-solvingtime management

Certifications

professional certification