Hybrid Workers' Comp Claims Examiner

Sedgwick; Madison (WI); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development and promotional成长

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is hiring a Claims Examiner for Workers Compensation with jurisdiction in MD & NJ. The role emphasizes adjudicating complex claims, flexible work arrangements, and a comprehensive benefits package. Home-state licensing preferred.

Ideal candidates will have 5 years of claims management experience, a high school diploma or GED, and a bachelor's degree preferred, with a focus on timely and accurate claim resolution.

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: Home state preferred
• Jurisdiction Knowledge: MD and NJ

Responsibilities

• 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.

Skills

Claims management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is hiring a Claims Examiner for Workers Compensation with jurisdiction in MD & NJ. The role emphasizes adjudicating complex claims, flexible work arrangements, and a comprehensive benefits package. Home-state licensing preferred.

Ideal candidates will have 5 years of claims management experience, a high school diploma or GED, and a bachelor's degree preferred, with a focus on timely and accurate claim resolution.