Workers Compensation Claims Examiner

Sedgwick

. Analyze Lost-Time Workers Compensation claims on behalf of clients to determine benefits due .

Posted 9/15/2026full-timeMarlton • New Jersey • United StatesJuniorMid-Level💰 $75,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and managing Lost-Time Workers Compensation claims, ensuring timely resolution and adherence to industry best practices. Proficient in communication and negotiation with claimants and clients while maintaining excellent judgment and problem-solving abilities.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsJurisdiction Knowledge: NJProfessional CertificationAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisAdjudicationAction Plan DevelopmentClaim Settlement NegotiationComputer Keyboarding

Soft Skills

Clear Thinking AbilityExcellent JudgmentProblem SolvingStress ManagementMultitasking

Certifications & Qualifications

Professional Certification

Industry Keywords

Lost-Time Workers CompensationClaims ProcessingClient Service RequirementsExcess Carrier Reporting

About the role

Key responsibilities & impact

Analyze Lost-Time Workers Compensation claims on behalf of clients to determine benefits due
Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
Analyze and process claims through action plans toward 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 the excess carrier
Respond professionally and timely to requests for directions

Requirements

What you’ll need

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
2+ years of claims management experience or equivalent combination of education and experience required
Jurisdiction knowledge: NJ
Licensing not required
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
Ability to meet deadlines
Computer keyboarding
Hearing, vision, and talking

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Medical, dental, and vision coverage
401(k) and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Reasonable accommodations when applicable and appropriate