Remote Workers’ Compensation Claims Examiner

Sedgwick; Dover (DE); On-site; EUR 62,000 - 76,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Agile environment

Career growth

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner for Workers’ Compensation to adjudicate complex claims with a strong service mindset. The role offers hybrid work arrangements with a local office presence and remote flexibility within 25 miles of Sedgwick offices.

The ideal candidate brings 5 years of claims management experience and knowledge of MD/NJ jurisdictions, with licensing in the home state preferred. Sedgwick provides a comprehensive benefits package and career growth opportunities.

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: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing: Home state preferred
• Jurisdiction Knowledge: MD and NJ

Responsibilities

• Analyzing and processing claims to determine exposure and resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Analytical thinking

Claims adjudication

Negotiation

Communication with clients

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner for Workers’ Compensation to adjudicate complex claims with a strong service mindset. The role offers hybrid work arrangements with a local office presence and remote flexibility within 25 miles of Sedgwick offices.

The ideal candidate brings 5 years of claims management experience and knowledge of MD/NJ jurisdictions, with licensing in the home state preferred. Sedgwick provides a comprehensive benefits package and career growth opportunities.