Remote Workers' Comp Claims Examiner - NJ/PA

Sedgwick; New Jersey; Híbrido; USD 75.000 - 85.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical benefits

Dental benefits

Vision benefits

401K on day one

Flexible spending account

Descripción de la vacante

Sedgwick is seeking a dedicated Claims Examiner to analyze Lost-Time Workers' Compensation claims for clients in NJ and PA, ensuring accurate benefits adjudication and timely processing in line with service expectations.

The role offers hybrid work in Marlton, NJ with remote options outside commuting distance, opportunities for professional development, and a comprehensive benefits package including medical, dental, vision, and 401k. Prior jurisdictional experience is preferred.

Formación

• 2+ years of claims management experience or equivalent combination of education and experience required.
• Experience with Lost-Time Workers' Compensation claims is preferred.
• Jurisdiction knowledge for NJ & PA is valued.

Responsabilidades

• Analyze Lost-Time Workers' Compensation claims to determine benefits due and adjudicate within service levels.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and coordinate directions professionally.

Conocimientos

Claims management

Attention to detail

Negotiation

Communication

Educación

High School Diploma or GED

Bachelor’s degree preferred

Descripción del empleo

Sedgwick is seeking a dedicated Claims Examiner to analyze Lost-Time Workers' Compensation claims for clients in NJ and PA, ensuring accurate benefits adjudication and timely processing in line with service expectations.

The role offers hybrid work in Marlton, NJ with remote options outside commuting distance, opportunities for professional development, and a comprehensive benefits package including medical, dental, vision, and 401k. Prior jurisdictional experience is preferred.