Workers' Compensation Claims Examiner | Jurisdictions: NJ Experience required

Sedgwick•Marlton, NJ

4d•$70,000 - $80,000

About The Position

The Workers' Compensation Claims Examiner analyzes New Jersey lost-time workers' compensation claims on behalf of clients to determine benefits due. The role ensures ongoing claim adjudication meets service expectations, industry best practices, and client-specific service requirements. The examiner investigates claims, develops action plans, determines exposure, negotiates settlements within designated authority, communicates claim activity with claimants and clients, and reports claims to excess carriers while responding to requests for direction. Sedgwick describes a caring culture, flexibility and autonomy in daily work and location, an agile environment, and opportunities for professional development and career growth. The position includes a comprehensive benefits offering.

Requirements

High school diploma or GED required.
At least 3 years of claims management experience, or an equivalent combination of education and experience.
Knowledge of the New Jersey jurisdiction.
Clear and conceptual thinking, sound judgment, troubleshooting, problem-solving, analysis, and discretion.
Ability to handle work-related stress, multiple priorities, and deadlines.
Computer keyboarding ability, and hearing, vision, and talking.

Nice To Haves

Bachelor's degree from an accredited college or university.
Professional certification applicable to the line of business.

Responsibilities

Analyze and process claims through well-developed action plans to achieve appropriate and timely resolution.
Investigate claims and gather information to determine claim exposure.
Negotiate claim settlements within designated authority.
Communicate claim activity and processing with claimants and clients.
Report claims to the excess carrier and respond to requests for direction professionally and promptly.