Remote PIP & No-Fault Claims Examiner

Sedgwick Claims Management Services Ltd; New York (NY); Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Diverse benefits package

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner in New York, responsible for investigating and resolving personal injury protection (PIP) and medical payments (Med Pay) claims. The ideal candidate will have at least six years of related experience, including three years in PIP/Med Pay adjusting. Comprehensive benefits are offered, including medical, dental, vision, and a flexible work schedule. The role emphasizes strong negotiation skills and knowledge of jurisdictional requirements.

Qualifications

• Six years of related experience, including three years of PIP/Med pay adjusting experience.
• Ability to document investigation and settlement decisions clearly.
• Skills in managing claims workload and maintaining productivity.

Responsibilities

• Investigates and resolves PIP and Med Pay claims.
• Reviews files and establishes reserves based on claim details.
• Documents thought processes and communicates with all parties involved.

Skills

PIP/Med Pay adjusting

Investigation and negotiation

Customer service

Knowledge of state laws and regulations

Education

Bachelor's degree from accredited college

Professional certification

Job description

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner in New York, responsible for investigating and resolving personal injury protection (PIP) and medical payments (Med Pay) claims. The ideal candidate will have at least six years of related experience, including three years in PIP/Med Pay adjusting. Comprehensive benefits are offered, including medical, dental, vision, and a flexible work schedule. The role emphasizes strong negotiation skills and knowledge of jurisdictional requirements.