Claims Examiner - Workers Compensation | Jurisdiction: TX & OK | Licensing: TX & OK Required
Sedgwick Claims Management Services Ltd
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 | Licensing: TX & OK Required 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? 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. 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. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE OF THE ROLE 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. ESSENTIAL RESPONSIBLITIES MAY INCLUDE 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. QUALIFICATIONS Education & Licensing: 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. Experience: 5 years of claims management experience or equivalent combination of education and experience required. Licensing / Jurisdiction Knowledge: TX, OK WORK ENVIRONMENT REQUIREMENTS INCLUDE When applicable and appropriate, consideration will be given to reasonable accommodations. Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical:Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. 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. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, 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, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com
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- J-18808-Ljbffr Sedgwick Claims Management Services Ltd
- ...Workplaces in Financial Services & Insurance. Claims Examiner - Workers Compensation | Jurisdiction: TX, OK, & LA | Licensing: TX/FL preferred (Plano,TX/Remote) Are you... ...best practices and specific client service requirements; and to identify subrogation of claims and negotiate...SuggestedWork at officeRemote workWork from homeFlexible hours
- Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for our valued clients in Texas and Oklahoma. You will adjudicate benefits, apply best practices, and ensure service expectations are met in an agile environment. The role offers flexibility...SuggestedRemote job
- A leading claims management company is looking for a Claims Examiner in Plano, TX. The role involves analyzing complex workers' compensation claims and negotiating settlements. Candidates should possess a Bachelor's degree and ideally five years of claims management experience...SuggestedWork at officeFlexible hours
- ...Whether you’re managing claims, supporting clients, or improving... ...with purpose. Overview Jurisdictions: TX Licenses: TX This role is eligible... ...: Lead and encourage a Workers Compensation claims team handling a... ...Experience: TX Required Qualifications High School...SuggestedLive outWork at officeLocal areaRemote workFlexible hours
- ...well. Whether you're managing claims, supporting clients, or... ...specifics: Claims Background: Workers Compensation Jurisdictional Experience: TX Active Adjusters' licenses : TX Location: This... ..., regulatory, and ethics requirements. Document and...SuggestedLocal areaRemote work
- ...well. Whether you're managing claims, supporting clients, or... ...specifics: Claims Background: Workers Compensation Jurisdictional Experience: TX Active Adjusters' licenses: TX Location: This role is... ...statutory, regulatory, and ethics requirements. Document and communicate...Local areaRemote work
$65.3k - $107.6k
...Property Claim Representative - Direct Repair... ...- Richardson, TX Attention Military... .... If you have the required skill set,... ...where you do it. Compensation Overview: The annual... ...specific and countrywide jurisdictional resources for... ...relevant insurance license(s) to comply with...For contractorsImmediate start- ...match, an employee stock purchase plan, and commuter benefits.Compensation varies by role, level, and location and is influenced by skills... ...the hiring process. Learn more at .*Excludes seasonal employees and interns.SummaryLocation: Richardson, TX (USA)Type: Full timeFull timeContract workPart timeSeasonal workWork at office
- ...Workers Compensation Claims Specialist At Liberty, you'll thrive in a... ...50 miles of the Plano, TX office, as the role requires in-office attendance twice... ...practices, protocols, jurisdictional issues and available resources... ...but not mandatory. Licensing may be required in some...Work at officeRemote work
- Sedgwick is seeking a Claims Examiner - Workers Compensation to analyze claims for our clients, determine benefits, and adjudicate within... ...management experience, a High School Diploma or GED, and licensing knowledge for TX and OK. The position supports a flexible, hybrid/remote...Remote jobFlexible hours
- Position Overview Dallas, TX MCI is one of the fastest‑growing tech‑enabled business... ...concerns and elevate complex cases when required. Achieve call center performance... ...screening results. (Does not apply in Canada). Compensation & Benefits Paid Time Off: Earn PTO and...Full timeTemporary workCasual workWork at officeLocal areaRemote workShift work
$21 per hour
...compassionate approach to member interactions is key. This position requires a 9-week onsite training and nesting period at our Plano office,... ...center environment required Must be located local to our Plano, TX office as this role requires working onsite. Hybrid/work-from-...Hourly payTemporary workLocal areaWork from homeMonday to FridayShift workRotating shift$60k - $70k
...Location: 5850 Granite Pkwy, Plano, TX 75024 OR 1499 Gulf to Bay Blvd,... ...for incoming service requests, missing requirements, and general administrative inquiries from... ...Cross-Functional Team Support Compensation & Benefits: Compensation (based on experience...Full timeWork at office$87.49k - $113.89k
...Licensed Insurance Agents Wanted Seeking stability? Passionate... ...clients to assess their insurance requirements Develop tailored... ...support and follow up with claims Keep up to date with the... ...Work Location: In person Compensation USD $49,000.00 - USD $200...Permanent employment- ...experiences. Role Summary The Workers’ Compensation Claims Specialist oversees and... ...Liability matters Requirements 7+ years of hands‑on Workers... ...experience All‑Lines Adjuster License or Workers’ Compensation... ...partners Multi‑state jurisdictional experience is a plus High...Hourly payDaily paid
$40k
...Spanish/English) Property Casualty Licensed Sales Agent who is passionate... ...grow a rewarding career. Compensation Incentives: Base... ...First 6 months in-office (Plano, TX) for training and onboarding... ...in office work experience Requirements What Were Looking For:...Work experience placementWork at officeRemote workWork from homeMonday to FridayFlexible hours$54k - $103k
...manage commercial claims with moderate to... ...standards. The position requires regular... ...claimants, injured workers, witnesses, and working... ...Adjuster License within 90 days of... ...CPCU). In certain jurisdictions, CNA is legally required... ...estimate of the compensation for this role. In...Work experience placementWork at officeLocal area- ...on call, no weekends, no holidays Location: 3325 Medpark Dr. Denton, TX 76210 What you will do in this role: Obtains CPT and ICD-10 Diagnosis codes and other clinical information as required for treatment of the patient from practice staff; seeks assistance from...Full timeTemporary workWork at officeMonday to FridayFlexible hours
$130k - $170k
...Commercial Auto Liability Claims Adjuster Overview... ...and regulatory requirements Participate in file... ...standard business tools ~ Licensing Requirement:... ...faith estimate. Final compensation will be determined based... ...Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho...Work at officeRemote workWeekend work- Gallagher Bassett is seeking an experienced Claims Adjuster to handle workers' compensation claims from a fully remote location. The role requires a high school diploma, 5+ years of related claims experience, and active licenses in relevant states. You will analyze...Remote job
- ...Claims Assistant Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally...
- ...out of our Richardson, TX office. Salary... ...with GEICO's Casualty Claims Team! It's an exciting... ...motivated Casualty Claims Examiners with prior casualty... ...well to change. Job Requirements Minimum three... ...have an active Adjuster license at time of hire...Work at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per weekEarly shift
- Description Casualty Senior Claims Manager — Casualty... ...: Bachelor's degree required; Juris Doctor (JD),... ...Chandler, AZ; Plano, TX; Suwanee, GA; or Weatogue... ...in various jurisdictions The ability to effectively... ...have a corresponding compensation plan which may include...Work experience placementWork at officeLocal area
- GEICO in Richardson, TX is seeking a Casualty Claims Examiner to deliver world-class service in automotive liability claims... ...providing exceptional customer service. The role requires 3+ years in Bodily Injury, an active adjuster license, and strong negotiation and communication...
- A leading insurance provider is seeking a Claims Supervisor to lead a Workers Compensation claims team in Carrollton, Texas. This role involves managing workloads, promoting best practices, and utilizing technology to improve service quality. Candidates must possess a...Remote job
- ...driven environment Competitive compensation and comprehensive benefits... ...Conshohocken, PA Home Office; Plano, TX; Oak Brook IL.... ...ensure alignment and execution. Requirements Minimum of 2 years property and... ...or equivalent experience. P&C license not required, however is highly...Work at officeHome office
- ...Claims Specialist (Product Liability) Staffmark Workforce... ...located in Plano, TX. Schedule: Fully on-... ...that all projects have required documentation as they move... .... ~ Claims Adjuster License a plus. ~ Takes project... ...receive competitive compensation and a great benefits package...Contract workMonday to FridayFlexible hoursAfternoon shift
- ...at GEICO As an Auto Claims Specialist, you'll... ...Opportunity Exciting? Compensation & Incentives: ~ Starting... ...~$1,500 sign-on for licensed candidates.... ...Greenville Ave. Richardson, TX 75082 How You'll Make... ...School Diploma or GED required; College degree preferred...Hourly payWork at officeLocal areaImmediate startFlexible hoursWeekend workAfternoon shift
- ...and bank when, where, and how they want Required qualifications, capabilities, and skills... ...7 A valid and active Series 66 (63/65) license is required or must be obtained within 6... ...based pay and/or discretionary incentive compensation, paid in the form of cash and/or forfeitable...
- ...Commercial Insurance Claims Representative At Liberty... ...with policy and legal requirements. In addition to a wide... ...offices: Plano, TX; Hoffman, IL; Suwanee,... ...communication skills. ~ License may be required in... ...have a corresponding compensation plan which may include...Work at officeLocal areaRemote work
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