Workers Compensation Examiner – NJ, PA

This is a fully remote position, open to applicants in New Jersey, +1 more state.

📋 Description

• Assess and manage Workers Compensation claims through comprehensive action plans aimed at achieving timely resolutions.

• Investigate claims thoroughly and collect information to evaluate claim exposure accurately.

• Negotiate settlements for claims within the established authority limits.

• Maintain communication regarding claim activities and processing with both claimants and clients.

• Report claims to the excess carrier and address any requests for guidance.

• Adjudicate complex customer claims and provide effective solutions for clients.

• Utilize Sedgwick's extensive global network of specialists to enhance knowledge and share insights.

⛳️ Requirements

• A High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited college or university is preferred.

• Professional certification related to the line of business is preferred.

• A minimum of 3 years of claims management experience or a suitable combination of education and experience is required.

• Knowledge of jurisdictions in NJ and PA is essential.

• Ability to analyze Workers Compensation claims to ascertain benefits owed.

• Licensing is not a requirement for this position.

• Proficient in investigating and collecting claim-related information.

• Capable of negotiating settlements within designated authority.

• Effective in communicating claim activities and processing with both claimants and clients.

• Possess clear and conceptual thinking abilities; demonstrate excellent judgment, troubleshooting, problem-solving, analytical skills, and discretion.

• Capable of managing work-related stress and prioritizing multiple tasks simultaneously.

• Ability to meet deadlines consistently.

• Proficient in computer keyboarding; must have adequate hearing, vision, and communication skills.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunities for career development and promotional growth.

• Comprehensive benefits including medical, dental, vision, 401K with matching, paid time off, disability and life insurance, employee assistance, flexible spending or health savings accounts, and additional voluntary benefits.

• Flexible work arrangements and autonomy in daily tasks, location, and career trajectory.

• Access to professional development opportunities.