Remote Workers' Comp Claims Examiner (NY Subro)

Sedgwick; Baton Rouge (LA); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

401K on day one

Medical, dental, vision coverage

Job summary

Sedgwick is seeking a Lost-Time Workers' Compensation Claims Examiner to adjudicate complex claims with NY licensing requirements. This role combines analytic rigour with client service in a flexible work environment.

Based on your location, you may work remotely across the U.S. with hybrid options; you will leverage Sedgwick’s network to resolve claims efficiently while upholding industry best practices and service standards.

Qualifications

• 5 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.

Skills

Subrogation experience

Claims management

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Lost-Time Workers' Compensation Claims Examiner to adjudicate complex claims with NY licensing requirements. This role combines analytic rigour with client service in a flexible work environment.

Based on your location, you may work remotely across the U.S. with hybrid options; you will leverage Sedgwick’s network to resolve claims efficiently while upholding industry best practices and service standards.