Remote Workers' Comp Claims Examiner

Sedgwick; Erie (Erie County); Hybrid; USD 80,000 - 88,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career development

Job summary

Sedgwick in Marlton, NJ is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims on behalf of clients, determine benefits due, and ensure timely adjudication within service standards.

The role requires 5 years of claims management experience, a high school diploma or GED (bachelor's preferred), FL licensing, and the ability to work in a hybrid environment with flexible scheduling and career development opportunities.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.

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

Professional certification

Job description

Sedgwick in Marlton, NJ is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims on behalf of clients, determine benefits due, and ensure timely adjudication within service standards.

The role requires 5 years of claims management experience, a high school diploma or GED (bachelor's preferred), FL licensing, and the ability to work in a hybrid environment with flexible scheduling and career development opportunities.