Remote NY Workers' Comp Claims Specialist

Sedgwick; Jackson (MS); Hybrid; USD 90,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Agile environment

Career development

Benefits package (medical, dental, 401

Job summary

Sedgwick is seeking a Workers' Compensation Claims Examiner in NY with hybrid work options based in Syracuse. You will analyze New York Lost-Time claims to determine benefits and ensure timely adjudication in alignment with client service requirements.

A minimum of two years' claims management experience and NY licensing are required, with a preferred Bachelor's degree. The role offers development opportunities, a flexible schedule, and a comprehensive benefits package consistent with Sedgwick's

Qualifications

• High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.
• Two years of claims management experience or equivalent combination of education and experience.
• Jurisdiction knowledge: NY; Licensing: NY required.

Responsibilities

• Analyzing and processing NY Lost-Time claims to determine benefits and ensure adjudication within service expectations.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to excess carrier and responding to directions professionally.

Skills

Claims management

Analytical thinking

Communication

Organizational skills

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Workers' Compensation Claims Examiner in NY with hybrid work options based in Syracuse. You will analyze New York Lost-Time claims to determine benefits and ensure timely adjudication in alignment with client service requirements.

A minimum of two years' claims management experience and NY licensing are required, with a preferred Bachelor's degree. The role offers development opportunities, a flexible schedule, and a comprehensive benefits package consistent with Sedgwick's