Remote Workers' Compensation Claims Examiner (NY)

Sedgwick; Baton Rouge (LA); Remote; USD 90,000 - 95,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with match

Paid time off

Job summary

Sedgwick is seeking a remote-friendly Workers Compensation Claims Examiner for NY jurisdiction with licensing requirements. You will analyze Lost-Time claims, determine benefits due, and adjudicate cases within client service standards.

Ideal candidates have 3–5 years of claims management experience, plus education/licensing in NY; NJ is a plus. The role offers flexible work arrangements and comprehensive benefits in a global risk solutions company.

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.

Responsibilities

• Analyze Lost-Time Workers Compensation claims to determine benefits due.
• Adjudicate claims within service expectations and client requirements.
• Negotiate settlements within designated authority.

Skills

Analytical thinking

Negotiation

Communication skills

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a remote-friendly Workers Compensation Claims Examiner for NY jurisdiction with licensing requirements. You will analyze Lost-Time claims, determine benefits due, and adjudicate cases within client service standards.

Ideal candidates have 3–5 years of claims management experience, plus education/licensing in NY; NJ is a plus. The role offers flexible work arrangements and comprehensive benefits in a global risk solutions company.