Remote Workers' Comp Claims Examiner – Subrogation

Sedgwick; Trenton (NJ); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development

Job summary

Sedgwick is seeking a US Telecommuter Full Time Workers' Compensation Claims Examiner to adjudicate Lost-Time/ Workers' Compensation claims with NY jurisdiction and subrogation experience. The role offers hybrid or remote options, with a focus on accuracy, client service, and fair outcomes for diverse clients.

Ideal candidates have strong claims management experience, licensing where applicable, and a track record of timely resolutions.

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• 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.

Skills

Negotiation

Communication

Claims management

Education

5 years of claims management experience or equivalent

High School Diploma or GED

Bachelor's degree preferred

Professional certification relevant to line of business

Job description

Sedgwick is seeking a US Telecommuter Full Time Workers' Compensation Claims Examiner to adjudicate Lost-Time/ Workers' Compensation claims with NY jurisdiction and subrogation experience. The role offers hybrid or remote options, with a focus on accuracy, client service, and fair outcomes for diverse clients.

Ideal candidates have strong claims management experience, licensing where applicable, and a track record of timely resolutions.