Hybrid Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; New York (NY); Hybrid; USD 70,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career growth

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner to analyze mid- and higher-level workers' compensation claims, determine benefits, and guide adjudication. The role emphasizes accuracy, timely resolutions, and client communication.

You will work in a flexible, hybrid environment supporting a global leader known for service, with opportunities for growth, professional development, and a comprehensive benefits package.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 4 years of claims management experience or equivalent combination of education and experience.

Responsibilities

• Analyzing and processing claims through well-developed action plans to determine exposure and resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and client.
• Reporting claims to the excess carrier and responding to directions professionally.

Skills

Analytical thinking

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Examiner to analyze mid- and higher-level workers' compensation claims, determine benefits, and guide adjudication. The role emphasizes accuracy, timely resolutions, and client communication.

You will work in a flexible, hybrid environment supporting a global leader known for service, with opportunities for growth, professional development, and a comprehensive benefits package.