Remote Workers' Compensation Claims Examiner

Sedgwick; New Jersey; Hybrid; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits: medical, 401k,

Job summary

Sedgwick is seeking a Workers' Compensation Claims Examiner to analyze medical and lost-time claims for clients, determine benefits, and ensure adjudication within service expectations. You will work with a broad client base and leverage Sedgwick's global expertise to deliver timely, accurate results.

The role offers flexibility, opportunity for growth, and a comprehensive benefits package. You will join a caring culture that supports professional development and a balanced life.

Qualifications

• 2+ years of claims management experience or equivalent
• Licensing and education as described in the role
• Jurisdiction knowledge: NJ, PA, VA, MA

Responsibilities

• Analyze Medical Only & Lost-Time Workers Compensation claims to determine benefits due.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity with the claimant and client.
• Report claims to the excess carrier and respond to directions promptly.

Skills

Negotiation

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Workers' Compensation Claims Examiner to analyze medical and lost-time claims for clients, determine benefits, and ensure adjudication within service expectations. You will work with a broad client base and leverage Sedgwick's global expertise to deliver timely, accurate results.

The role offers flexibility, opportunity for growth, and a comprehensive benefits package. You will join a caring culture that supports professional development and a balanced life.