Remote Workers' Compensation Claims Examiner

Sedgwick; Columbus (OH); Remote; USD 90,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with matching

Paid time off (PTO)

Disability & life insurance

Employee assistance

HSA/FSAs

Job summary

Sedgwick is seeking a Workers Compensation Claims Examiner to adjudicate complex Lost-Time claims for NY jurisdiction, with licensing requirements and public entity experience. The role emphasizes analytical assessment, negotiation, and client communication in a remote-capable environment.

The position offers flexible work arrangements and a comprehensive benefits package. NY licensing and jurisdiction knowledge are highlighted, inviting candidates with relevant public entity workers'

Qualifications

• Education & Licensing: 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.
• Experience: 3-5 years of claims management experience or equivalent combination of education and experience required.
• Public Entity Workers Compensation 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 adjudication

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (preferred)

Job description

Sedgwick is seeking a Workers Compensation Claims Examiner to adjudicate complex Lost-Time claims for NY jurisdiction, with licensing requirements and public entity experience. The role emphasizes analytical assessment, negotiation, and client communication in a remote-capable environment.

The position offers flexible work arrangements and a comprehensive benefits package. NY licensing and jurisdiction knowledge are highlighted, inviting candidates with relevant public entity workers'