Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote

Sedgwick; Jackson (MS); Remote; USD 80,000 - 90,000; Full time

Job summary

A leading risk and claims administration partner is seeking a Workers Compensation Claims Examiner in Jackson, Mississippi. The ideal candidate will analyze New York Workers Compensation Lost-Time claims, ensuring benefits are determined and claims are processed timely. This role offers a flexible work schedule and a comprehensive benefits package including health insurance and 401K. Candidates with 1 - 3 years of related experience are encouraged to apply.

Benefits

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Qualifications

• 1 - 3 years of New York Workers Compensation claims management experience.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze and process claims to determine timely resolution.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity with claimants and clients.

Skills

Analyzing claims

Negotiating settlements

Effective communication

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Overview

By joining Sedgwick, you\'ll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Fortune Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?

Responsibilities

• Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
• Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
• Leverage Sedgwick’s broad, global network of experts to learn from and share your insights.
• Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, your location, and your career path.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Ideal Candidate & Primary Purpose

Ideal candidate: To analyze New York Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Primary purpose of the role: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Essential 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.

Qualifications

Education & Licensing: 1 - 3 years of New York Workers Compensation claims management experience

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: New York

Licensing: New York

Benefits & Additional Information

Flexible work schedule.

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. For the jurisdiction noted in this job posting, the range of starting pay for this role is 80K - 90K. A comprehensive benefits package is offered including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you\'re excited about this role but your experience doesn\'t align perfectly with every qualification in the job description, consider applying anyway. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company\'s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com