Remote Workers' Comp Claims Examiner — NY

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

Benefits offered by this job

Flexible work schedule

Referral incentive program

Remote environment

Career development

Job summary

Sedgwick, a global leader in claims administration, is hiring a Workers Compensation Claims Examiner for NY jurisdiction. You will analyze Lost-Time claims, determine benefits due, and adjudicate within client service requirements. This role supports remote work and offers a chance to grow within a large, reputable firm.

Qualifications include a High School diploma or GED (Bachelor's preferred) and 3–5 years of claims management. NY licensing is required; NJ preferred.

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.

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 degree

Professional certification

Job description

Sedgwick, a global leader in claims administration, is hiring a Workers Compensation Claims Examiner for NY jurisdiction. You will analyze Lost-Time claims, determine benefits due, and adjudicate within client service requirements. This role supports remote work and offers a chance to grow within a large, reputable firm.

Qualifications include a High School diploma or GED (Bachelor's preferred) and 3–5 years of claims management. NY licensing is required; NJ preferred.