Remote Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; New York (NY); Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentives

Career development

Job summary

Sedgwick is seeking a Workers Compensation Claims Examiner in NY jurisdiction to adjudicate complex customer claims in a dynamic, remote environment. You will analyze claims, gather information, and determine exposure while maintaining service levels and client expectations.

The role requires 4+ years of claims experience, NY licensing knowledge, and a commitment to professional development within Sedgwick's expansive benefits program. A flexible schedule supports work-life balance.

Qualifications

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

Responsibilities

• Analyzing and processing claims to determine exposure and resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions professionally.

Skills

Claims management

Negotiation

Communication

Reporting

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Workers Compensation Claims Examiner in NY jurisdiction to adjudicate complex customer claims in a dynamic, remote environment. You will analyze claims, gather information, and determine exposure while maintaining service levels and client expectations.

The role requires 4+ years of claims experience, NY licensing knowledge, and a commitment to professional development within Sedgwick's expansive benefits program. A flexible schedule supports work-life balance.