Remote Workers' Comp Claims Examiner

Sedgwick; Trenton (NJ); A distancia; USD 80.000 - 85.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Flexible work schedule

Referral incentive program

Career development and promotional增长机会

Descripción de la vacante

Sedgwick is hiring a Claims Examiner to analyze Medical Only & Lost-Time Workers Compensation claims for our clients. You will adjudicate, determine benefits due, and maintain service expectations across a global network with a focus on client satisfaction and accurate decision making.

The role offers flexible work arrangements and a comprehensive benefits package, supporting career growth and work-life balance while handling a capped caseload within a trusted, industry-leading company.

Formación

• High School Diploma or GED required; Bachelor's degree preferred.
• 2+ years of claims management experience or equivalent.
• Jurisdiction knowledge: NJ, PA, VA, MA.

Responsabilidades

• Analyzing and processing claims through well-developed action plans to determine exposure and reach resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions professionally.

Conocimientos

Claims management

Educación

High School Diploma or GED

Bachelor's degree

Descripción del empleo

Sedgwick is hiring a Claims Examiner to analyze Medical Only & Lost-Time Workers Compensation claims for our clients. You will adjudicate, determine benefits due, and maintain service expectations across a global network with a focus on client satisfaction and accurate decision making.

The role offers flexible work arrangements and a comprehensive benefits package, supporting career growth and work-life balance while handling a capped caseload within a trusted, industry-leading company.