Remote Workers Compensation Claims Examiner Jobs
Remote Workers Compensation Claims Examiner jobs are in active demand at remote-first companies and large distributed teams, including employers like Sedgwick and Gallagher, from junior to senior. See the openings below and apply to the ones that match your experience.
Find JobsOverview
Showing 4 of 4+ Remote Workers Compensation Claims Examiner jobs
Looking for more remote workers compensation claims examiner jobs?
Explore related role searches to find more openings that fit.
See related jobsINTRODUCTION
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
ROLE AND RESPONSIBILITIES
Claims Examiner - Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN - Required (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?
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
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 RESPONSIBILITIES 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.
BASIC 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, GA, TN
Jurisdiction Knowledge: FL, TN, CA, GA
PREFERRED QUALIFICATIONS
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.
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.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($80,000.00-$92,000.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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.
INTRODUCTION
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
ROLE AND RESPONSIBILITIES
Claims Examiner - Workers Compensation | Jurisdiction: FL,TN,CA,GA | Licensing: FL, GA, TN - Required (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?
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
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 RESPONSIBILITIES 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.
BASIC 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, GA, TN
Jurisdiction Knowledge: FL, TN, CA, GA
PREFERRED QUALIFICATIONS
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.
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.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($80,000.00-$92,000.00). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
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 4 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
- Sedgwick2
- Gallagher2
Top Industries Hiring
- Insurance2
- Government & Public Sector1
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
Tailor your resume to claim complexity
Hiring managers scan for the types of claims you've handled. Specify whether you managed medical-only, indemnity, or litigated claims, and note average caseload size and jurisdictions covered. Vague summaries get passed over in favor of candidates who show clear scope.
Highlight state adjuster license details
Many postings require a specific state license or the ability to obtain one quickly. List every jurisdiction where you hold an adjuster license, including non-resident licenses. Missing this detail can screen you out before a recruiter reads the rest of your resume.
Target openings by claim handling authority
Job postings for workers compensation claims examiners often specify a reserve-setting authority threshold. Filter for roles where your documented authority level matches, since starting below your experience invites underpay and starting above it risks early rejection.
Apply early to roles that fit
Migrate Mate lists workers compensation claims examiner openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for a technical phone screen first
Most workers compensation claims examiner interviews open with a phone screen focused on jurisdictional knowledge and claims handling procedures, not soft skills. Refresh your understanding of compensability determinations, return-to-work coordination, and subrogation so you answer confidently before the panel stage.
Negotiate using comparable caseload data
When you reach the offer stage, ground your negotiation in the complexity and volume of claims you've managed. Examiners handling high-exposure litigated files or multi-state programs routinely command better compensation than those on simpler portfolios, so document your file mix before the conversation.
Remote Workers Compensation Claims Examiner Jobs: Frequently Asked Questions
How do I get a remote workers compensation claims examiner job?
Target companies that already run distributed teams, since they hire remotely by default and know how to onboard someone they never meet in person. Remote workers compensation claims examiner employers screen hard for self-direction and clear written communication on top of the core skills, so show evidence you can own work without someone over your shoulder. Apply to the openings above that match your experience.
Which companies hire remote workers compensation claims examiners?
Employers currently hiring remote workers compensation claims examiners include Sedgwick and Gallagher, per current remote listings on Migrate Mate as of June 2026. Remote-first firms and large companies running distributed teams post the most remote workers compensation claims examiner roles.
Can you get a remote workers compensation claims examiner job with no experience?
Yes, but it is harder than an on-site role, because remote work expects you to operate independently from the start. Entry-level remote workers compensation claims examiner openings do exist, especially at remote-first companies, and a portfolio of real work helps more than a long resume. Applying broadly to the roles that fit improves your odds.
Do you need a degree for remote workers compensation claims examiner jobs?
Not always. Many employers hire remote workers compensation claims examiners on demonstrated skills and prior work rather than a specific degree, though some larger companies still prefer one. Showing relevant results matters more than a credential for most remote workers compensation claims examiner roles.
Which industries hire the most remote workers compensation claims examiners?
The sectors hiring the most remote workers compensation claims examiners are Insurance and Government & Public Sector, based on current remote listings on Migrate Mate as of June 2026. These sectors run distributed teams and hire workers compensation claims examiners remotely most consistently.
See All 4 Remote Workers Compensation Claims Examiner Jobs
Find roles that match your experience and apply in just a few clicks.
Find Jobs