Lost-Time Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; Marlton (NJ); Hybrid; USD 80,000 - 88,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

401K on day one

Medical, dental, vision

Job summary

Sedgwick is seeking a Loss-Time Workers' Compensation Claims Examiner in Marlton, NJ on a hybrid schedule. You will analyze complex claims for our valued clients, determine benefits due, and ensure adjudication aligns with client service requirements.

The role emphasizes collaboration, independence, and delivering timely resolutions within established guidelines. Ideal candidates bring 5+ years of claims experience, NJ/PA knowledge, and relevant licensing.

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.
• Jurisdiction Knowledge: NJ & PA
• Licensing: DE 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 from an accredited college or university

Professional certification as applicable to line of business

Job description

Sedgwick is seeking a Loss-Time Workers' Compensation Claims Examiner in Marlton, NJ on a hybrid schedule. You will analyze complex claims for our valued clients, determine benefits due, and ensure adjudication aligns with client service requirements.

The role emphasizes collaboration, independence, and delivering timely resolutions within established guidelines. Ideal candidates bring 5+ years of claims experience, NJ/PA knowledge, and relevant licensing.