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

Sedgwick; Jefferson City (MO); Remote; USD 80,000 - 90,000; Full time

Job summary

A global leader in insurance solutions is seeking a Workers Compensation Claims Examiner to manage complex claims for a diverse clientele. The role requires analyzing New York Workers Compensation Lost-Time claims, providing timely resolutions, and embodying core values like empathy and accountability. Ideal candidates should have 1-3 years of relevant experience and a strong educational background. This role offers remote flexibility and a comprehensive benefits package, with starting pay ranging from $80K to $90K.

Benefits

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits including medical, dental, and 401K from day one

Qualifications

• 1 - 3 years of New York Workers Compensation claims management experience.
• High School Diploma required; Bachelor's degree preferred.

Responsibilities

• Analyzing and processing claims to a timely resolution.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.

Skills

New York Workers Compensation claims management experience

Analytical skills

Negotiation skills

Communication skills

Education

High School Diploma or GED

Bachelor's degree from an accredited college or university

Job description

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.

Sedgwick has been recognized as one of America’s Greatest Workplaces, Certified as a Great Place to Work, and one of the Fortune Best Workplaces in Financial Services & Insurance.

Job Title

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?

• 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 both learn from and to 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

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

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.

The range of starting pay for this role is (80K - 90K).

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 for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.