Remote Workers' Compensation Claims Examiner

Sedgwick; Newark (NJ); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick is seeking a Workers' Compensation Claims Examiner to analyze Medical Only & Lost-Time claims across NJ, PA, VA, and MA. The role emphasizes adjudication within service expectations and client requirements.

You will evaluate exposure, negotiate settlements, and communicate progress with claimants and clients while benefiting from a flexible remote work arrangement and a comprehensive benefits package.

Qualifications

• 2+ years of claims management experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Jurisdiction knowledge NJ, PA, VA, MA is a plus.

Responsibilities

• Analyzing and processing medical only and lost-time workers' compensation claims to determine benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.

Skills

Attention to detail

Communication skills

Negotiation

Education

High School Diploma

Bachelor's degree preferred

Job description

Sedgwick is seeking a Workers' Compensation Claims Examiner to analyze Medical Only & Lost-Time claims across NJ, PA, VA, and MA. The role emphasizes adjudication within service expectations and client requirements.

You will evaluate exposure, negotiate settlements, and communicate progress with claimants and clients while benefiting from a flexible remote work arrangement and a comprehensive benefits package.