NY Workers' Comp Claims Examiner - Hybrid/Remote

Sedgwick

Salt Lake City (UT)

Hybrid

USD 90,000 - 95,000

Full time

4 days ago
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Benefits offered by this job

Flexible schedule
Referral incentive
Agile environment
Career development
Benefits package

Job summary

Sedgwick is seeking a Full-time Workers’ Compensation Claims Examiner with jurisdiction experience in NY. The role analyzes New York Lost-Time claims, adjudicates benefits, and negotiates settlements within authority while maintaining client service standards.

The ideal candidate has at least two years of claims management experience, a high school diploma or GED (bachelor’s preferred), and NY licensure. Hybrid work options apply for Syracuse, NY location.

Qualifications

  • Minimum of a high school diploma or GED; bachelor’s degree preferred.
  • Professional certification relevant to the line of business is a plus.
  • Minimum of two years of claims management experience or equivalent.

Responsibilities

  • Analyze NY Lost-Time claims and determine benefits due in a timely manner.
  • Negotiate settlements within designated authority.
  • Communicate claim activity with claimants and clients.
  • Report claims to excess carriers and respond to directions professionally.

Skills

Claims management
Communication
Negotiation
Analytical thinking
Risk assessment

Education

High School Diploma or GED
Bachelor’s degree
Professional certification (as applicable)

Tools

Claims software

Job description

Sedgwick is seeking a Full-time Workers’ Compensation Claims Examiner with jurisdiction experience in NY. The role analyzes New York Lost-Time claims, adjudicates benefits, and negotiates settlements within authority while maintaining client service standards.

The ideal candidate has at least two years of claims management experience, a high school diploma or GED (bachelor’s preferred), and NY licensure. Hybrid work options apply for Syracuse, NY location.

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