Remote Workers’ Comp Claims Examiner — NY Licensed

Sedgwick Claims Management Services; New York (NY); Remote; USD 80,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Remote environment

Referral incentives

Career development

401k on day one

Job summary

Sedgwick Claims Management Services in New York seeks a Workers' Compensation Claims Adjuster with NY jurisdiction expertise to adjudicate complex Lost-Time claims for diverse clients. You will assess benefits due, apply industry standards, and ensure timely service within client requirements.

This role offers a flexible schedule, remote work options, and a comprehensive benefits package, including medical, dental, vision, and 401(k) on day one.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred; professional certification as applicable.
• 3–5 years of claims management experience or equivalent.
• Public Entity Workers' Compensation preferred.

Responsibilities

• Analyzing and processing Lost-Time Workers' Compensation claims to determine exposure and benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Claims management

Negotiation

Communication

Analytical thinking

Education

High School Diploma or GED

Bachelor’s degree preferred

Job description

Sedgwick Claims Management Services in New York seeks a Workers' Compensation Claims Adjuster with NY jurisdiction expertise to adjudicate complex Lost-Time claims for diverse clients. You will assess benefits due, apply industry standards, and ensure timely service within client requirements.

This role offers a flexible schedule, remote work options, and a comprehensive benefits package, including medical, dental, vision, and 401(k) on day one.