Remote Workers' Comp Claims Examiner

Sedgwick; Newark (NJ); Hybrid; USD 80,000 - 88,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development & growth

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is hiring a Workers' Compensation Claims Examiner to analyze Lost-Time claims for NJ & PA, with hybrid work options in Marlton, NJ. You will adjudicate complex claims, negotiate settlements, and maintain client relationships while leveraging Sedgwick's national network and resources.

Ideal candidates have at least 5 years of claims experience, a high school diploma or GED (bachelor's preferred), and licensing considerations including DE where applicable.

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.

Skills

Claims management experience

NJ & PA knowledge

Licensing: DE Preferred

Education

High School Diploma or GED required

Bachelor's degree preferred

Professional certification as applicable to line of business preferred

Job description

Sedgwick is hiring a Workers' Compensation Claims Examiner to analyze Lost-Time claims for NJ & PA, with hybrid work options in Marlton, NJ. You will adjudicate complex claims, negotiate settlements, and maintain client relationships while leveraging Sedgwick's national network and resources.

Ideal candidates have at least 5 years of claims experience, a high school diploma or GED (bachelor's preferred), and licensing considerations including DE where applicable.