About The Position

Sedgwick is seeking a Workers Compensation Claims Examiner to analyze lost-time workers’ compensation claims for a dedicated client. The role determines benefits due and ensures claims are adjudicated within service expectations, industry best practices, and client-specific service requirements. The position is hybrid for candidates within commuting distance of the Marlton, New Jersey office and remote for candidates outside commuting distance.

Requirements

  • High school diploma or GED.
  • Five years of claims management experience, or an equivalent combination of education and experience.
  • Florida licensing is required.

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 using well-developed action plans, investigating and gathering information to determine claim exposure and achieve timely resolution.
  • Negotiate claim settlements within designated authority.
  • Communicate claim activity and processing with claimants and clients.
  • Report claims to the excess carrier and respond professionally and promptly to requests for directions.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • Medical, dental, and vision benefits.
  • 401(k) and matching.
  • Paid time off.
  • Disability and life insurance.
  • Employee assistance program.
  • Flexible spending or health savings account.
  • Additional voluntary benefits.
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