Workers Compensation Examiner – NJ, PA

🔥 16 hours ago

🏖️ New Jersey, Pennsylvania – Remote

🏖️ New Jersey – Remote 🔔 Pennsylvania – Remote

💵 $60k - $80k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze and process Workers Compensation claims through action plans to 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 directions • Adjudicate complex customer claims and deliver customer-facing solutions • Leverage Sedgwick's global network of experts to learn and share insights

🎯 Requirements

• 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 • 3+ years of claims management experience or equivalent combination of education and experience required • Knowledge of NJ and PA jurisdictions • Analyze Workers Compensation claims to determine benefits due • Licensing not required • Ability to investigate and gather claim information • Ability to negotiate settlements within designated authority • Ability to communicate claim activity and processing with claimants and clients • Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion • Ability to handle work-related stress and multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding; hearing, vision and talking

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, vision, 401K and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits • Flexible work arrangements and autonomy in daily work, location, and career path • Professional development opportunities

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