Remote Workers' Comp Claims Adjuster - NY

Sedgwick; Dover (DE); Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick is seeking a dedicated professional to join as a Lost-Time Workers Compensation Claims Adjuster for NY jurisdiction. This role analyzes complex workers compensation claims, negotiates settlements, and collaborates with clients to ensure accurate benefit determinations under service expectations.

Ideal candidates will have NY licensure familiarity, strong adjudication skills, and a commitment to excellent client service, with hybrid work options and comprehensive benefits.

Qualifications

• 2 years of claims management experience or equivalent combination of education and experience required.
• 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.
• Jurisdiction Knowledge: NY
• Licensing: NY preferred, not required

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

Professional certification as applicable to line of business

Job description

Sedgwick is seeking a dedicated professional to join as a Lost-Time Workers Compensation Claims Adjuster for NY jurisdiction. This role analyzes complex workers compensation claims, negotiates settlements, and collaborates with clients to ensure accurate benefit determinations under service expectations.

Ideal candidates will have NY licensure familiarity, strong adjudication skills, and a commitment to excellent client service, with hybrid work options and comprehensive benefits.