Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: MD & FL | Licensing: FL Required

Sedgwick Claims Management Services Ltd; Marlton (NJ); Hybrid; USD 80,000 - 88,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Opportunity to work in an agile enviro

Career development and promotionalop

Comprehensive benefits including 401K

Job summary

Sedgwick in Marlton, NJ is looking for a Workers’ Compensation Claims Examiner to analyze Lost-Time claims for clients and determine benefits owed while meeting service expectations and client requirements. The role supports a hybrid office schedule and requires Florida licensing; jurisdiction knowledge includes MD and VA.

Applicants should have a High School Diploma or GED (Bachelor's preferred) and at least 5 years of claims management experience, with professional certification as applicable

Qualifications

• Education & Licensing: High School Diploma or GED required; Bachelor's degree preferred; professional certification as applicable to line of business preferred.
• Experience: 5 years of claims management experience or equivalent combination of education and experience.
• Jurisdiction Knowledge: FL, DE, MD, VA; Licensing: FL Required.

Responsibilities

• Analyzing and processing claims through action plans to timely resolution by investigating and gathering information.
• 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 from clients.

Skills

Claims management

Lost-Time claims analysis

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance

Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: MD & FL | Licensing: FL Required

WORK LOCATIONS

• Marlton, NJ - hybrid schedule if within commutable distance to the office
• Remote if outside of commutable distance to the office

PRIMARY PURPOSE OF THE ROLE

To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

• 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.

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.

Jurisdiction Knowledge: FL DE MD VA Licensing: FL Required

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

• Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
• Physical:Computer keyboarding
• Auditory/Visual: Hearing, vision and talking

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (80 - 88K). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com