Remote Workers' Comp Claims Examiner (NY Subrogation)

Sedgwick; Olympia (WA); Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Referral incentive program

Career development and promotional成长

Job summary

Sedgwick is hiring for a Lost-Time Workers Compensation Claims Examiner focused on NY jurisdiction with NY licensing requirements. The role emphasizes adjudication of complex claims, subrogation, and expansive client interactions in a flexible hybrid/remote work setup.

The ideal candidate will have 5+ years in claims management, the appropriate NY license, and relevant certifications, supported by a robust benefits package and growth opportunities.

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.
• 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 management

Negotiation

Communication

Analysis

Education

High School Diploma or GED

Bachelor's degree preferred

NY licensing

Professional certification applicable to LOB

Job description

Sedgwick is hiring for a Lost-Time Workers Compensation Claims Examiner focused on NY jurisdiction with NY licensing requirements. The role emphasizes adjudication of complex claims, subrogation, and expansive client interactions in a flexible hybrid/remote work setup.

The ideal candidate will have 5+ years in claims management, the appropriate NY license, and relevant certifications, supported by a robust benefits package and growth opportunities.