Remote Workers' Compensation Claims Examiner

Sedgwick; Cheyenne (WY); Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Referral incentive program

Career development opportunities

Medical, dental, vision, 401K benefits

Job summary

Sedgwick is seeking a qualified professional to analyze Lost-Time Workers' Compensation claims for our NY jurisdiction. The role involves determining benefits due, adjudicating claims to meet service expectations, and collaborating with clients and a broad network of experts.

The position offers hybrid work with Syracuse-area proximity or remote eligibility, plus a comprehensive benefits package and growth opportunities within a global leader in risk and claims administration.

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 management

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable to LOB

Job description

Sedgwick is seeking a qualified professional to analyze Lost-Time Workers' Compensation claims for our NY jurisdiction. The role involves determining benefits due, adjudicating claims to meet service expectations, and collaborating with clients and a broad network of experts.

The position offers hybrid work with Syracuse-area proximity or remote eligibility, plus a comprehensive benefits package and growth opportunities within a global leader in risk and claims administration.