Remote Workers' Comp Claims Adjuster (NY Jurisdiction)

Sedgwick; Raleigh (NC); Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentives

Career development

Benefits package

Job summary

Sedgwick, a global leader in risk and claims management, is hiring for a Workers’ Compensation Claims Adjuster in NY jurisdiction. This role analyzes Lost-Time WC claims for clients, determining benefits due while maintaining adjudication within service expectations.

It offers hybrid work, strong development opportunities, and a comprehensive benefits package. Ideal candidates have 2 years of claims management experience, a HS diploma (Bachelor's preferred), and relevant professional

Qualifications

• 2 years of claims management experience or equivalent.
• High School Diploma or GED required; Bachelor's degree 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

Analytical skills

Negotiation

Customer communication

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick, a global leader in risk and claims management, is hiring for a Workers’ Compensation Claims Adjuster in NY jurisdiction. This role analyzes Lost-Time WC claims for clients, determining benefits due while maintaining adjudication within service expectations.

It offers hybrid work, strong development opportunities, and a comprehensive benefits package. Ideal candidates have 2 years of claims management experience, a HS diploma (Bachelor's preferred), and relevant professional