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Sedgwick

Claims Examiner, Auto – Occupational Accident

Sedgwick

Claims Examiner analyzing complex occupational accident claims and managing litigation processes for Sedgwick's clients. Ensuring timely resolution and adherence to service expectations.

Posted 5/17/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact
  • Analyze complex or technically difficult occupational accident claims to determine benefits due.
  • Work with high exposure claims involving litigation and rehabilitation.
  • Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
  • Identify subrogation of claims and negotiate settlements.
  • Manages claims through well-developed action plans to an appropriate and timely resolution.

Requirements

What you’ll need
  • Five (5) years of claims management experience or equivalent combination of education and experience required.
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled.
  • Excellent oral and written communication skills, including presentation skills.
  • PC literate, including Microsoft Office products.

Benefits

Comp & perks
  • health insurance
  • paid time off
  • flexible work arrangements

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills & Tools
claims managementadjudicationnegotiationsubrogationaction plans
Soft Skills
communication skillspresentation skills
Certifications
professional certification