Remote Workers' Compensation Claims Adjuster – NY Expert

Sedgwick; City of Syracuse (NY); Hybrid; USD 70,000 - 80,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a dedicated Claims Examiner in New York to analyze Lost-Time Workers’ Compensation claims for clients, determine benefits due, and ensure adjudication aligns with service expectations and client requirements. This role offers hybrid flexibility and engagement with a global leader in the claims industry.

You will negotiate settlements, communicate progress with claimants, and collaborate with clients while leveraging Sedgwick’s network of experts to deliver accurate, timely

Qualifications

• 2 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

Claims management

Negotiation

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification preferred

Job description

Sedgwick is seeking a dedicated Claims Examiner in New York to analyze Lost-Time Workers’ Compensation claims for clients, determine benefits due, and ensure adjudication aligns with service expectations and client requirements. This role offers hybrid flexibility and engagement with a global leader in the claims industry.

You will negotiate settlements, communicate progress with claimants, and collaborate with clients while leveraging Sedgwick’s network of experts to deliver accurate, timely