Remote Workers' Comp Claims Examiner (NY Licensed)

Sedgwick; United States; Remote; USD 75,000 - 85,000; Full time

Job summary

Sedgwick is hiring a Workers Compensation Claims Examiner for NY jurisdiction with remote work options. You will analyze complex claims, determine benefits, and adjudicate according to client service requirements in a globally recognized company. Flexible schedule and comprehensive benefits are highlighted.

Ideal candidates have 4+ years in claims management, a high school diploma, and relevant licensing, with a preference for a bachelor’s degree and professional certifications.

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.

Job description

Sedgwick is hiring a Workers Compensation Claims Examiner for NY jurisdiction with remote work options. You will analyze complex claims, determine benefits, and adjudicate according to client service requirements in a globally recognized company. Flexible schedule and comprehensive benefits are highlighted.

Ideal candidates have 4+ years in claims management, a high school diploma, and relevant licensing, with a preference for a bachelor’s degree and professional certifications.