Remote Workers' Comp Claims Examiner

Sedgwick; Newark (NJ); Remote; USD 70,000 - 75,000; Full time

Benefits offered by this job

Flexible work schedule

Career development opportunities

Medical, dental, vision, 401K

Job summary

Sedgwick in Newark is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for multiple jurisdictions, including DE, IL, LA, MO, NJ, OK, TN, TX. You will adjudicate benefits, negotiate settlements within authority, and communicate with claimants and clients in a fast‑paced, service‑driven environment.

A minimum of 5 years’ claims management experience and litigation exposure are required.

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.
• Heavy Litigation - experience required

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

Jurisdiction knowledge

Claims adjudication

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

Job description

Sedgwick in Newark is seeking a Workers Compensation Claims Examiner to analyze Lost-Time claims for multiple jurisdictions, including DE, IL, LA, MO, NJ, OK, TN, TX. You will adjudicate benefits, negotiate settlements within authority, and communicate with claimants and clients in a fast‑paced, service‑driven environment.

A minimum of 5 years’ claims management experience and litigation exposure are required.