Remote NY Workers’ Comp Claims Examiner

Sedgwick; San Juan (PR); On-site; USD 90,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Remote work environment

Career development and growth

Comprehensive benefits including 401k,

Job summary

Sedgwick is hiring in the United States for a Lost-Time Workers Compensation Claims Examiner. Analyze claims and determine benefits for clients, ensuring adjudication meets service expectations and client requirements.

Role requires NY jurisdiction knowledge, licensing, and 3–5 years of claims management experience; public entity workers' comp preferred. Remote work is available with a comprehensive benefits package.

Qualifications

• Education: 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.

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 preferred

Job description

Sedgwick is hiring in the United States for a Lost-Time Workers Compensation Claims Examiner. Analyze claims and determine benefits for clients, ensuring adjudication meets service expectations and client requirements.

Role requires NY jurisdiction knowledge, licensing, and 3–5 years of claims management experience; public entity workers' comp preferred. Remote work is available with a comprehensive benefits package.