Remote Workers' Comp Claims Examiner: NY Subrogation

Sedgwick; Tallahassee (FL); Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) on day one

PTO and disability insurance

Referral incentive program

Job summary

Sedgwick is hiring for a Lost-Time Workers Compensation Claims Examiner with NY jurisdiction requirements. The role emphasizes adjudicating complex claims, subrogation experience, and working within a hybrid (Syracuse NY area) or remote setup depending on commutable distance.

Ideal candidates have a strong background in claims management, licensing for NY, and a commitment to client service, with opportunities for professional growth and comprehensive benefits.

Qualifications

• 5 years of claims management experience or equivalent.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business.

Responsibilities

• Analyze and process Lost-Time Workers Compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and respond to directions promptly.

Skills

Claims analysis

Negotiation

Communication

Claims processing

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring for a Lost-Time Workers Compensation Claims Examiner with NY jurisdiction requirements. The role emphasizes adjudicating complex claims, subrogation experience, and working within a hybrid (Syracuse NY area) or remote setup depending on commutable distance.

Ideal candidates have a strong background in claims management, licensing for NY, and a commitment to client service, with opportunities for professional growth and comprehensive benefits.