See all roles

Workers Compensation Claims Adjuster | NJ & VA Jurisdictions | Dedicated Client & Capped Caseload

Work from home Full-time role Hiring

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 Adjuster | NJ & VA Jurisdictions | Dedicated Client & Capped Caseload 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 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. PRIMARY PURPOSE OF THE ROLE: To analyze mid to high level Workers Compensation Lost-Time 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: 2 years of claims management experience or equivalent combination of education and experience required. 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. Jurisdiction Knowledge: NJ & VA Licensing: not required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. #claimsexaminer #claims #remote 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 (70 - 80K). 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. 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. Apply To This Job

You might like

Auditor de Calidad

Work from home Full-time role

UM Inpatient Clinical Review Nurse

Work from home Full-time role

CMO Director, US

Work from home Full-time role

EHS Specialist

Work from home Full-time role

Clinical Pharmacist

Work from home Full-time role

Home-Based Sales Analytics & Data Operations Analyst

Work from home Full-time role

Reverse Loan Processor

Work from home Full-time role

Sr Director, Global Pharmacovigilance

Work from home Full-time role

U&FM Cross Portfolio Project Leader

Work from home Full-time role

Sales Admin, Tender & Contract Compliance Specialist ( d / f /m)

Work from home Full-time role

Experienced Customer Sales Representative – Remote Opportunity at arenaflex

Work from home Full-time role

Experienced Live Chat Agent – Remote Customer Service Representative

Work from home Full-time role

Sr. Software Engineer (.NET + React) (Remote)

Work from home Full-time role

Cloud Data Ingestion Engineer

Work from home Full-time role

Electronics Buyer

Work from home Full-time role

Body Imaging Weekends Position Remote or Onsite, 3 or 4 day week - AdventHealth Medical Group Radiology Central Florida

Work from home Full-time role

Experienced Part-Time Remote Customer Service Representative – arenaflex

Work from home Full-time role

AI Infrastructure Engineer

Work from home Full-time role

Manager, Client Support Operations, Patient Experience

Work from home Full-time role

Senior Mobile Application Developer-ISAII-D (Apple Platform-iOS/iPadOS)

Work from home Full-time role