Remote Workers Compensation Claims Examiner Jobs
Remote Workers Compensation Claims Examiner jobs are concentrated across insurance carriers, third-party administrators, and self-insured employers in sectors such as healthcare, construction, and manufacturing. Distributed teams at national insurers and specialty claims management firms, including Sedgwick, TRISTAR, and Gallagher, hire examiners at every level from adjuster trainee to senior examiner. See the openings below and apply to the ones that match your experience.
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Showing 5 of 13+ Remote Workers Compensation Claims Examiner jobs
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 | Multi State Jurisdiction | Licensing: CA and FL Required (Hybrid/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?
- 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.
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: FL required, CA preferred
Jurisdiction: CA, FL, GA, MS, MI, NJ, OK, PA, TN, TX, VI
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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.
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 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.
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 | Multi State Jurisdiction | Licensing: CA and FL Required (Hybrid/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?
- 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.
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: FL required, CA preferred
Jurisdiction: CA, FL, GA, MS, MI, NJ, OK, PA, TN, TX, VI
TAKING CARE OF YOU
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
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.
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 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.
See All 13 Remote Workers Compensation Claims Examiner Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsRemote Workers Compensation Claims Examiner Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote workers compensation claims examiner jobs.
- Two or more years of workers compensation claims handling experience
- State adjuster license in the hiring jurisdiction or ability to obtain one
- Proficiency with claims management systems such as Guidewire, Majesco, or similar platforms
- Knowledge of compensability determinations and applicable state workers compensation statutes
- Experience setting reserves and managing indemnity and medical-only claims
- Associate in Claims (AIC) designation or equivalent professional certification preferred
Tips for Your Remote Workers Compensation Claims Examiner Job Search
Lead with your state adjuster license count
Remote employers prioritize examiners licensed in multiple states because distributed teams handle claims from anywhere in the country. List every active adjuster license prominently on your resume so hiring managers see your geographic reach before they read anything else.
Demonstrate async file documentation skills
Remote workers compensation claims examiners communicate almost entirely through written notes, reserve justifications, and email threads. Prepare writing samples or case summaries that show you can document decisions clearly and completely without a supervisor walking over to clarify your reasoning.
Apply early to remote roles that fit
Migrate Mate lists remote workers compensation claims examiner openings from across the country in one place, so you can find roles that match your experience level and state licenses and apply directly without sorting through hybrid or on-site postings.
Name the claims platforms you know
Remote hiring managers scan for specific systems like Guidewire, Majesco, or ClaimCenter because onboarding time matters when no one can train you in person. Call out every claims management platform, adjudication system, or case tracking tool you have used in a dedicated skills section.
Remote Workers Compensation Claims Examiner Jobs: Frequently Asked Questions
How do I get a remote workers compensation claims examiner job?
Target insurance carriers, third-party administrators, and self-insured corporate employers that run distributed claims operations, since those organizations are most likely to post fully remote examiner roles. Remote employers screen for independent case management, clear written documentation habits, and proficiency with claims management platforms. Holding a state adjuster license, demonstrating experience closing files without in-person supervision, and showing fluency with remote communication tools gives you a real edge over equally qualified in-office candidates.
Which companies hire remote workers compensation claims examiners?
Employers currently hiring remote workers compensation claims examiners include Sedgwick, TRISTAR, and Gallagher, per current remote listings on Migrate Mate as of November 2026. The field draws from remote-first third-party administrators, national insurance carriers with distributed claims teams, and large self-insured corporations managing their own workers compensation programs across multiple states.
Can you get a remote workers compensation claims examiner job with no experience?
Yes, but remote entry-level examiner roles are harder to land because employers expect you to manage files independently from day one with minimal oversight. Some third-party administrators and regional carriers do hire entry-level remote examiners, especially candidates who hold a state adjuster license, have completed claims coursework, or can demonstrate strong written documentation skills and self-directed work habits through internships or volunteer case management.
Do you need a degree for remote workers compensation claims examiner jobs?
Not always. Many remote employers weigh a current state adjuster license, hands-on claims handling experience, and familiarity with claims management software more heavily than a four-year degree. Candidates who can show a consistent history of accurate reserves, timely file closures, and clear written communications often move forward regardless of their educational background, particularly at third-party administrators filling high-volume remote roles.
See All 13 Remote Workers Compensation Claims Examiner Jobs
Find roles that match your experience and apply in just a few clicks.
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