Remote Workers' Comp Claims Adjuster (NY Expert)

Sedgwick; New York (NY); Hybrid; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Remote work opportunities

Career growth

Benefits package

Job summary

Sedgwick in New York is seeking a Workers' Compensation Claims Adjuster with jurisdiction expertise in NY to adjudicate complex lost-time claims and determine benefits for clients.

You will analyze claims, negotiate settlements, and communicate with claimants and clients while leveraging Sedgwick's broad network and development opportunities. Flexible schedule and remote options are available.

This role offers diverse benefits from day one and a culture of care and inclusion.

Qualifications

• Education & Licensing: 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.
• Experience: 3-5 years of claims management experience or equivalent combination of education and experience required.
• Public Entity Workers Compensation preferred
• Jurisdiction Knowledge: NY Required
• Licensing: NY

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.

Skills

Claims management

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick in New York is seeking a Workers' Compensation Claims Adjuster with jurisdiction expertise in NY to adjudicate complex lost-time claims and determine benefits for clients.

You will analyze claims, negotiate settlements, and communicate with claimants and clients while leveraging Sedgwick's broad network and development opportunities. Flexible schedule and remote options are available.

This role offers diverse benefits from day one and a culture of care and inclusion.