Workers Compensation Examiner | Jurisdictions: NJ & PA | Dedicated Client & Capped Caseloads

Sedgwick • Marlton, NJ

2d • $60,000 - $80,000

About The Position

Sedgwick is seeking a Workers Compensation Examiner to analyze claims on behalf of clients, determine benefits due, and ensure claims are adjudicated in accordance with service expectations, industry best practices, and client requirements. The role handles claims in New Jersey and Pennsylvania, with dedicated clients and capped caseloads. The examiner investigates claims, develops action plans, negotiates settlements within designated authority, communicates with claimants and clients, and reports claims to excess carriers. Licensing is not required.

Requirements

• High school diploma or GED.
• At least 3 years of claims management experience, or an equivalent combination of education and experience.
• Jurisdiction knowledge of New Jersey and Pennsylvania.

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 action plans aimed at appropriate and timely resolution.
• Investigate 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 excess carriers and respond professionally and promptly to requests for direction.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED