Hybrid Workers’ Comp Claims Examiner (NJ/PA)

Sedgwick; Oregon; Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Hybrid work model

Diverse benefits including medical, Dt

Job summary

Sedgwick is seeking a Workers' Compensation Examiner to analyze claims for clients, determine benefits due, and adjudicate within service expectations. The role involves independent work but leverages Sedgwick's global network and resources to support problem solving and client service excellence.

Ideal candidates will have at least 3+ years in claims management, a high school diploma or GED, and a bachelor’s degree preferred.

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.

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.

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is seeking a Workers' Compensation Examiner to analyze claims for clients, determine benefits due, and adjudicate within service expectations. The role involves independent work but leverages Sedgwick's global network and resources to support problem solving and client service excellence.

Ideal candidates will have at least 3+ years in claims management, a high school diploma or GED, and a bachelor’s degree preferred.