Remote Workers' Comp Claims Examiner

Sedgwick; Elm (PA); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401k on day one

PTO

Life insurance

Employee assistance

Job summary

Sedgwick is hiring a Workers' Compensation Examiner to analyze and adjudicate claims for clients across NJ and PA. The role supports a hybrid work model with a focus on delivering accurate benefit determinations and timely adjudication.

The ideal candidate will have 3+ years of claims management experience, a High School Diploma or GED (Bachelor's preferred), and knowledge of workers' compensation. Licensing not required; strong communication and negotiation skills are essential.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 3+ years of claims management experience or equivalent.
• Knowledge of workers' compensation is preferred.

Responsibilities

• Analyze and adjudicate workers' compensation claims.
• Negotiate settlements within designated authority.
• Communicate claim activity to the claimant and the client.
• Report claims to the excess carrier and respond to directions timely.

Skills

Claim analysis

Negotiation

Client communication

Attention to detail

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring a Workers' Compensation Examiner to analyze and adjudicate claims for clients across NJ and PA. The role supports a hybrid work model with a focus on delivering accurate benefit determinations and timely adjudication.

The ideal candidate will have 3+ years of claims management experience, a High School Diploma or GED (Bachelor's preferred), and knowledge of workers' compensation. Licensing not required; strong communication and negotiation skills are essential.