Remote Workers' Comp Claims Adjuster – NY Jurisdiction

Sedgwick; Concord (NH); Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

PTO

Disability & life insurance

Employee assistance

Job summary

Sedgwick is hiring a Workers' Compensation Claims Adjuster for NY jurisdiction with hybrid/remote work options. You will adjudicate Lost-Time WC claims, determine benefits due, and ensure timely, quality client service across diverse industries.

The role emphasizes analytical adjudication, negotiation within authority, and clear communication with claimants and clients, with opportunities for professional growth 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.

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 experience

Education

High School Diploma or GED

Bachelor’s degree

Professional certification

Job description

Sedgwick is hiring a Workers' Compensation Claims Adjuster for NY jurisdiction with hybrid/remote work options. You will adjudicate Lost-Time WC claims, determine benefits due, and ensure timely, quality client service across diverse industries.

The role emphasizes analytical adjudication, negotiation within authority, and clear communication with claimants and clients, with opportunities for professional growth and comprehensive benefits.