Remote Workers' Comp Claims Examiner — NY Subrogation Expert

Sedgwick; Dover (DE); Remote; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Comprehensive benefits

Job summary

Sedgwick is seeking a detail-oriented claims examiner to analyze Lost-Time Workers Compensation claims for large clients in a hybrid/remote setup. Responsibilities include adjudicating claims, determining benefits, and coordinating with claimants and clients to ensure timely resolutions and accurate reporting.

The role requires NY licensing, 5 years of claims management, and a commitment to Sedgwick’s values.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.
• Jurisdiction knowledge: NY.
• Licensing: NY.

Responsibilities

• Analyzing and processing Lost-Time Workers Compensation claims to determine benefits.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to the excess carrier and responding to directions professionally.

Skills

Claims adjudication

Analytical thinking

Communication skills

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a detail-oriented claims examiner to analyze Lost-Time Workers Compensation claims for large clients in a hybrid/remote setup. Responsibilities include adjudicating claims, determining benefits, and coordinating with claimants and clients to ensure timely resolutions and accurate reporting.

The role requires NY licensing, 5 years of claims management, and a commitment to Sedgwick’s values.