Remote NY Workers' Compensation Claims Examiner

Sedgwick; New York (NY); Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401K on day one

Paid time off

Disability insurance

Life insurance

Employee assistance program

Flexible spending account

Job summary

Sedgwick is hiring a Lost-Time Workers Compensation Claims Examiner for the New York jurisdiction. You will adjudicate complex Lost-Time workers' compensation claims, determine benefits due, and maintain ongoing adjudication aligned with client service requirements.

You will negotiate settlements, communicate with claimants and clients, and coordinate with the excess carrier while leveraging Sedgwick's global network for best practices and development opportunities.

Qualifications

• 2 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required. Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing Lost-Time Workers' Compensation claims to determine exposure and benefits.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Claims handling

Negotiation

Communication

Education

2 years of claims management experience

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is hiring a Lost-Time Workers Compensation Claims Examiner for the New York jurisdiction. You will adjudicate complex Lost-Time workers' compensation claims, determine benefits due, and maintain ongoing adjudication aligned with client service requirements.

You will negotiate settlements, communicate with claimants and clients, and coordinate with the excess carrier while leveraging Sedgwick's global network for best practices and development opportunities.