Claims Examiner - Workers Compensation | Jurisdiction: MD & NJ | Licensing: Home State Preferred
Sedgwick · Marlton, NJ, US
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About the Role
Analyze workers compensation claims on behalf of clients to determine benefits due, ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements. Enjoy flexibility and autonomy in your daily work, location, and career path.
Responsibilities
- Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiate settlement of claims within designated authority.
- Communicate claim activity and processing with the claimant and the client.
- Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.
Requirements
- 5 years of claims management experience or equivalent combination of education and experience required.
- Home state licensing preferred.
- Jurisdiction knowledge of MD and NJ required.
- 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.
- Ability to meet deadlines.
- Computer keyboarding.
- Travel as required.
- Hearing, vision and talking.
Skills
- Claims management
- Workers compensation
- Adjudication
- Problem solving
- Analysis
- Judgment
- Troubleshooting
- Communication
Location
- Remote
- Hybrid
Work Type
- Hybrid
- Remote
- Work from home
Experience Level
- 5 years of claims management experience
Education Level
- High School Diploma or GED required
- Bachelor's degree preferred
- Professional certification as applicable to line of business preferred
Salary/Compensations
- $70,000 - $85,000
Benefits
- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical
- Dental
- Vision
- 401K on day one
- 401K and matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
About the Company
- Sedgwick is a global industry leader.
- 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.
Equal Opportunity
- 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.