Claims Examiner, Auto | Occupational Accident
Sedgwick · Telecommuter TX
About this role
Sedgwick is hiring a mid-level Claims Examiner, Auto | Occupational Accident based in Telecommuter TX.
- Level
- mid
- Employment
- Full-time
- Location
- Telecommuter TX
- Posted
- May 15, 2026
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Job description
from Sedgwick careersBy 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, Auto | Occupational AccidentPRIMARY PURPOSE OF THE ROLE:
To analyze complex or technically difficult occupational accident claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; 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.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Analyzes and processes complex or technically difficult occupational accident claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.