Remote Workers' Compensation Claims Examiner

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

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development

Comprehensive benefits

Job summary

Sedgwick is hiring a Telecommuter Claims Examiner to assess Lost-time Workers Compensation claims across CT, MA, NJ, and VT, with flexible work options. The role emphasizes adjudication quality, client service, and collaboration across a global claims network.

Ideal candidates have 3 years' claims experience, a high school diploma or GED, and are licensed in VT/CT, with a preference for a bachelor’s degree and related certifications. Sedgwick supports career growth 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.
• Jurisdiction Knowledge: CT, MA, NJ, VT
• Licensing: VT & CT

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.

Education

High School Diploma or GED

Bachelor's degree preferred

Licensing: VT & CT

Job description

Sedgwick is hiring a Telecommuter Claims Examiner to assess Lost-time Workers Compensation claims across CT, MA, NJ, and VT, with flexible work options. The role emphasizes adjudication quality, client service, and collaboration across a global claims network.

Ideal candidates have 3 years' claims experience, a high school diploma or GED, and are licensed in VT/CT, with a preference for a bachelor’s degree and related certifications. Sedgwick supports career growth and comprehensive benefits.