Remote Workers' Comp Claims Examiner

Sedgwick; Buffalo (NY); Remote; USD 75,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

401K on day one

Medical insurance

Job summary

Sedgwick, a global leader in risk and claims management, is hiring a Workers Compensation Claims Examiner for NY jurisdiction. You will analyze claims, adjudicate benefits, and communicate with claimants and clients in a fast-paced, supportive culture.

This remote role offers flexible schedules, strong development opportunities, and a comprehensive benefits package. The ideal candidate has 4+ years of claims experience, NY licensing, and a commitment to service excellence.

Qualifications

• Education & Licensing: 4+ 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.

Education

High School Diploma or GED; Bachelor's preferred

4+ years of claims management experience

Job description

Sedgwick, a global leader in risk and claims management, is hiring a Workers Compensation Claims Examiner for NY jurisdiction. You will analyze claims, adjudicate benefits, and communicate with claimants and clients in a fast-paced, supportive culture.

This remote role offers flexible schedules, strong development opportunities, and a comprehensive benefits package. The ideal candidate has 4+ years of claims experience, NY licensing, and a commitment to service excellence.