Workers Compensation Claims Adjuster | NY Jurisdiction Experience Required | Dedicated Client
Sedgwick · NY, US
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About the Role
Analyze Lost-Time Workers Compensation claims on behalf of clients to determine benefits due, ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements. Join a global industry leader to solve problems for world-class brands, deliver innovative customer-facing solutions, and leverage a broad, global network of experts.
Responsibilities
- Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiate settlement of claims within designated authority.
- Communicate claim activity and processing with the claimant and the client.
- Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.
Requirements
- 2 years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required.
- NY jurisdiction knowledge required.
- Ability to perform clear and conceptual thinking, exercise excellent judgment, troubleshooting, problem solving, analysis, and discretion.
- Ability to handle work-related stress, multiple priorities simultaneously, and meet deadlines.
Skills
- Claims adjudication
- Problem solving
- Customer service
- Communication
- Negotiation
- Analysis
- Judgment
- Troubleshooting
- Attention to detail
Location
- Syracuse, NY (Hybrid)
- Remote
Work Type
- Hybrid
- Remote
Experience Level
- 2 years of claims management experience
Education Level
- High School Diploma or GED
- Bachelor's degree preferred
- Professional certification preferred
Salary/Compensations
- 85,000 - 90,000
Benefits
- Medical
- Dental
- Vision
- 401K on day one
- 401K matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance program
- Flexible spending account
- Health savings account
- Referral incentive program
- Career development
- Promotional growth opportunities
About the Company
- Sedgwick is a global industry leader known for its excellence and customer service.
- 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.
Equal Opportunity
- Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
- Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.