Remote Workers' Comp Claims Examiner (NY Subrogation)

Sedgwick; Denver (CO); Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a dedicated Loss-Time Workers' Compensation Claims Examiner to adjudicate complex NY-based claims in a hybrid remote environment. This role emphasizes careful analysis, timely resolutions, and proactive client communication.

Ideal candidates will have 5+ years in claims management, NY licensing, and a willingness to leverage Sedgwick's global network for delivering excellent service and growth opportunities.

Qualifications

• Education & Licensing: 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.
• Jurisdiction Knowledge: NY
• Licensing: NY

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

Claims handling experience

Negotiation

Attention to detail

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a dedicated Loss-Time Workers' Compensation Claims Examiner to adjudicate complex NY-based claims in a hybrid remote environment. This role emphasizes careful analysis, timely resolutions, and proactive client communication.

Ideal candidates will have 5+ years in claims management, NY licensing, and a willingness to leverage Sedgwick's global network for delivering excellent service and growth opportunities.