Remote Workers' Comp Claims Examiner

Sedgwick; Jackson (MS); Remote; USD 90,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Remote environment

Career development

Benefits package

Job summary

Sedgwick is seeking a remote Workers' Compensation Claims Examiner for NY jurisdiction. Analyze Lost-Time claims, determine benefits due, and adjudicate to meet client service standards. Requires 3–5 years' claims experience and NY licensing familiarity.

Role supports a global leader in claims administration with opportunities for professional development and a flexible working arrangement. Strong analytical and communication skills are essential.

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

Responsibilities

• Analyzing Lost-Time Workers Compensation claims to determine benefits due and adjudicate within client service requirements.
• Analyze and process claims to resolution by investigating information to determine exposure.
• Negotiating settlement within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a remote Workers' Compensation Claims Examiner for NY jurisdiction. Analyze Lost-Time claims, determine benefits due, and adjudicate to meet client service standards. Requires 3–5 years' claims experience and NY licensing familiarity.

Role supports a global leader in claims administration with opportunities for professional development and a flexible working arrangement. Strong analytical and communication skills are essential.