Sedgwick Logo

Sedgwick

Workers Compensation Claims Examiner | NJ & PA Jurisdictional Experience | Open to Remote

Reposted 3 Days Ago
Be an Early Applicant
Remote or Hybrid
Hiring Remotely in NJ, USA
75K-85K Annually
Junior
Remote or Hybrid
Hiring Remotely in NJ, USA
75K-85K Annually
Junior
Analyzes and adjudicates lost-time workers compensation claims, investigating exposure, determining benefits, developing action plans, negotiating settlements within authority, and communicating claim activity with claimants, clients, and excess carriers. The role requires timely resolution, sound judgment, regulatory and client-service compliance, and management of multiple priorities. It is hybrid in Marlton, New Jersey, with remote eligibility for candidates outside commuting distance.
The summary above was generated by AI

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

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

Workers Compensation Claims Examiner | NJ & PA Jurisdictional Experience | Open to Remote


Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?   

  • Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.  
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.  
  • Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.  
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.  
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.   
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.  

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. 


WORK LOCATIONS 

Marlton, NJ _ Hybrid Schedule

Open to REMOTE if outside of commutable distance to office


PRIMARY PURPOSE OF THE ROLE To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. 


ESSENTIAL RESPONSIBLITIES MAY INCLUDE 

  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.  
  • Negotiating settlement of claims within designated authority.  
  • Communicating claim activity and processing with the claimant and the client.  
  • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. 

QUALIFICATIONS 

  • Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. 
  • Experience: 2+ years of claims management experience or equivalent combination of education and experience required. 

Jurisdiction Knowledge:  NJ & PA

Licensing: Not required


TAKING CARE OF YOU  

  • Flexible work schedule.  
  • Referral incentive program.  
  • Opportunity to work in an agile environment.
  • Career development and promotional growth opportunities.  
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 

WORK ENVIRONMENT REQUIREMENTS INCLUDE  
When applicable and appropriate, consideration will be given to reasonable accommodations. 

  • Mental: 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; and ability to meet deadlines 
  • Physical: Computer keyboarding
  • Auditory/Visual: Hearing, vision and talking 

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (75k - 85k). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. 


#claimsexaminer #claims #hybrid #LI-REMOTE


Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick Dublin, California, USA Office

Dublin, United States

Similar Jobs

9 Minutes Ago
Remote
USA
85K-130K Annually
Senior level
85K-130K Annually
Senior level
eCommerce • Retail
Leads end-to-end operations for high-volume imagery and video production, coordinating photography, CGI, AI-generated imagery, video, timelines, stakeholders, workflows, capacity, and final asset delivery. The role develops scalable operating models, administers project management systems, tracks risks and dependencies, improves processes, and aligns Creative, Marketing, Brand, and Production teams. Quarterly travel to the San Leandro studio is required.
Top Skills: Ai-Generated ImageryAprimoAsanaCgi/3DDigital Asset Management (Dam)Monday.ComWrike
17 Minutes Ago
Remote
USA
Junior
Junior
Insurance • Financial Services
Analyzes social media activity, brand mentions, reviews, trends, competitors, and performance data for Globe Life and its subsidiaries. Monitors corporate social media inboxes and reputation platforms, routes messages, identifies brand risks, and produces weekly and monthly reports. Collaborates with marketing and social media strategy teams to develop initiatives, improve online reputation, support content development, and strengthen social media presence across corporate and agency channels.
Top Skills: BirdeyeGoogle My BusinessHootsuiteExcelMicrosoft PowerpointMicrosoft WordSprinklrSprinklr InsightsSproutTalkwalker
25 Minutes Ago
Easy Apply
Remote
United States
Easy Apply
184K-250K Annually
Senior level
184K-250K Annually
Senior level
AdTech • Artificial Intelligence • Big Data • Machine Learning • Marketing Tech • Mobile • Software
Own application security for Generative AI and emerging products by integrating secure development practices, conducting design and code reviews, threat modeling systems, assessing vendors and AI tools, triaging vulnerabilities, and building security automation. The role partners with engineering and detection teams, contributes to cloud and infrastructure security, participates in incident response and on-call rotations, and documents post-incident remediation.
Top Skills: Api SecurityApplication SecurityAuthenticationAuthorizationClojureCloud SecurityContinuous IntegrationGenerative AiGoInfrastructure SecurityJavaScriptObservabilityPythonSandboxingSecurity AutomationThreat ModelingVersion Control

What you need to know about the San Francisco Tech Scene

San Francisco and the surrounding Bay Area attracts more startup funding than any other region in the world. Home to Stanford University and UC Berkeley, leading VC firms and several of the world’s most valuable companies, the Bay Area is the place to go for anyone looking to make it big in the tech industry. That said, San Francisco has a lot to offer beyond technology thanks to a thriving art and music scene, excellent food and a short drive to several of the country’s most beautiful recreational areas.

Key Facts About San Francisco Tech

  • Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Google, Apple, Salesforce, Meta
  • Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
  • Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
  • Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account