Claims Examiner Workers Compensation | Jurisdiction MD & NJ | Licensing Home State Preferred
Marlton, NJ - USA
Job Summary
By joining Sedgwick youll be part of something truly meaningful. Its what our 33000 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 theres no limit to what you can achieve.
Newsweek Recognizes Sedgwick as Americas Greatest Workplaces National Top Companies
Certified as a Great Place to Work
Fortune Best Workplaces in Financial Services & Insurance
Claims Examiner - Workers Compensation Jurisdiction: MD & NJ Licensing: Home State PreferredAre you lookingfor an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the worlds best brands
- Apply yourClaims Examiner WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
- 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 CANDIDATEWe are looking for driven individuals that embody our caring counts model and core values that include empathy accountability collaboration growth and inclusion.
OFFICE LOCATION: 2 days in office 3 days work from home if located within 25 miles of any Sedgwick offices if outside of the radius a fully remote work arrangement will be considered.
PRIMARY PURPOSE OF THE ROLEToanalyze 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 requestsofdirections in a professional and timely manner.
QUALIFICATIONS
Education & Licensing:High School Diploma or GED required. Bachelors degree from an accredited college or university certification as applicable to line of business preferred.
Experience:5years of claims management experience or equivalent combination of education and experience required.
Licensing: Home state preferred
Jurisdiction Knowledge: MD and NJ
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 REQUIREMENTSINCLUDE
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 keyboardingtravel as required
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($70k-$85k). A comprehensive benefits package is offeredincludingbut 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.
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Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.
Required Experience:
IC
About Company
Sedgwick's tech-enabled risk, benefits, and integrated business solutions include comprehensive claims management and loss adjusting across industries.