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Claims Examiner - Workers Compensation | Jurisdiction: TX, OK LA | Licensing: TX​/FL preferre

Remote / Online - Candidates ideally in
Austin, Travis County, Texas, 78716, USA
Listing for: Sedgwick
Remote/Work from Home position
Listed on 2026-02-03
Job specializations:
  • Insurance
    Insurance Agent, Insurance Claims, Property Insurance, Health Insurance
Job Description & How to Apply Below
Position: Claims Examiner - Workers Compensation | Jurisdiction: TX, OK, & LA | Licensing: TX/FL preferre[...]

Overview

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Claims Examiner - Workers Compensation | Jurisdiction: TX, OK, & LA | Licensing: TX/FL preferred (Plano,TX/Remote)

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

Responsibilities
  • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.
Ideal Candidate

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; and to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

Office Location

The selected candidate will be expected to work a hybrid schedule if within 25 miles of a Sedgwick office; if outside of this radius it will be work from home.

Primary Purpose

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Qualifications
  • Education and Licensing
  • Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.
  • Experience
  • Five (5) years of claims management experience or equivalent combination of education and experience required.
  • Jurisdiction
  • TX, OK and LA
  • Licensing
  • TX, OK or LA preferred
Taking Care of You
  • 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.
  • Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

Note: If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway. Sedgwick emphasizes a diverse, equitable, and inclusive workplace and recognizes that each person has a unique combination of skills and experience.

For more information, visit

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