Remote Workers' Comp Claims Examiner: Growth & Impact

Sedgwick; Marlton (NJ); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits: medical, 401K,

PTO and more

Job summary

Sedgwick is seeking a Workers' Compensation Examiner to analyze claims for NJ & PA clients, adjudicate outcomes, and determine benefits due while meeting service expectations. The role emphasizes an energetic culture, professional development, and flexible work arrangements.

The ideal candidate has 3+ years in claims management and a relevant education background. Jurisdictions NJ/PA knowledge is valued, with a focus on client service and accuracy.

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.

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.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Workers' Compensation Examiner to analyze claims for NJ & PA clients, adjudicate outcomes, and determine benefits due while meeting service expectations. The role emphasizes an energetic culture, professional development, and flexible work arrangements.

The ideal candidate has 3+ years in claims management and a relevant education background. Jurisdictions NJ/PA knowledge is valued, with a focus on client service and accuracy.