Remote Workers' Compensation Claims Examiner (NY)

Sedgwick; Helena (MT); Hybrid; USD 80,000 - 90,000; Full time

Benefits offered by this job

Flexible schedule

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a Workers Compensation Claims Examiner to adjudicate Lost-Time claims for the NY jurisdiction and subrogation experience with NY licensing. This hybrid role operates within a dynamic, client-focused environment.

Join a global leader in claims management offering flexible schedules, professional development, and a comprehensive benefits package designed to support mental, physical, and financial well-being.

Qualifications

• 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

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Tools

None

Job description

Sedgwick is seeking a Workers Compensation Claims Examiner to adjudicate Lost-Time claims for the NY jurisdiction and subrogation experience with NY licensing. This hybrid role operates within a dynamic, client-focused environment.

Join a global leader in claims management offering flexible schedules, professional development, and a comprehensive benefits package designed to support mental, physical, and financial well-being.