Remote Workers' Comp Examiner | Flexible Schedule

Sedgwick; New Jersey; Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Benefits package

Job summary

Sedgwick is seeking a Workers Compensation Examiner to analyze claims for NJ & PA, determine benefits, and adjudicate within client requirements. The role emphasizes accuracy, timely processing, and collaboration with clients and carriers.

The candidate will manage complex claims with a focus on service excellence, benefiting from Sedgwick's extensive network, flexible work options, and comprehensive benefits.

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: 3+ years of claims management experience or equivalent combination of education and experience required.

Responsibilities

• Analyzing and processing claims through well-developed action plans to resolution by investigating and gathering information to determine 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 directions in a professional and timely manner.

Skills

Claims analysis

Negotiation

Communication

Claims reporting

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a Workers Compensation Examiner to analyze claims for NJ & PA, determine benefits, and adjudicate within client requirements. The role emphasizes accuracy, timely processing, and collaboration with clients and carriers.

The candidate will manage complex claims with a focus on service excellence, benefiting from Sedgwick's extensive network, flexible work options, and comprehensive benefits.