Remote NY Workers' Comp Claims Examiner

Sedgwick; Buffalo (NY); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

401K matching

Paid time off (PTO)

Medical, dental & vision benefits

Job summary

Sedgwick is seeking a dedicated claims examiner to analyze Lost-Time Workers Compensation claims for NY clients in a remote-friendly setting. You will adjudicate complex claims, determine benefits due, and collaborate with clients and carriers to resolve matters with professionalism and accuracy.

The role emphasizes licensing in NY, a strong knowledge base in workers' compensation, and opportunities for growth within a global provider known for caring counts and work-life balance.

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Experience: 3-5 years of claims management experience or equivalent combination of education and experience required.
• Public Entity Workers Compensation preferred

Responsibilities

• 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

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick is seeking a dedicated claims examiner to analyze Lost-Time Workers Compensation claims for NY clients in a remote-friendly setting. You will adjudicate complex claims, determine benefits due, and collaborate with clients and carriers to resolve matters with professionalism and accuracy.

The role emphasizes licensing in NY, a strong knowledge base in workers' compensation, and opportunities for growth within a global provider known for caring counts and work-life balance.