Workers Compensation Claims Examiner – DE License Preferred

Sedgwick

Claims Examiner analyzing Lost-Time claims for diverse clients in various jurisdictions. Ensuring timely resolution and client satisfaction through effective claim processing and negotiation.

Posted 7/20/2026full-timeNew Jersey, Pennsylvania, Virginia • 🇺🇸 United StatesJuniorMid-Level💰 $80,000 - $86,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims management, including analyzing Lost-Time claims, negotiating settlements, and ensuring compliance with industry best practices. Strong communication skills are essential for effectively interacting with claimants and clients.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsJurisdiction KnowledgeAction Plan DevelopmentClient Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingSettlement NegotiationAdjudicationInformation Gathering

Soft Skills

CommunicationProblem-SolvingAttention to Detail

Certifications & Qualifications

Professional Certification

Industry Keywords

Lost-Time ClaimsService ExpectationsBest PracticesClient Service RequirementsLicensing

About the role

Key responsibilities & impact

To analyze Lost-Time claims on behalf of our valued clients to determine benefits due.
Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
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.

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.
2-3 years of claims management experience or equivalent combination of education and experience required.
Jurisdiction Knowledge: NJ PA VA DE Licensing: DE preferred, not required.

Benefits

Comp & perks

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.