Workers Compensation Claims Examiner | Jurisdiction Experience: NY | Licensing Required: NY
Sedgwick · NY, US
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About the Role
Sedgwick is seeking a Workers Compensation Claims Examiner with New York jurisdiction experience and licensing to adjudicate complex customer claims within an energetic culture. You will analyze New York Lost-Time claims to determine benefits due, ensuring adherence to service expectations, industry best practices, and client requirements.
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
- Minimum of two (2) years of claims management experience or equivalent combination of education and experience required.
- NY Jurisdiction Knowledge
- NY Licensing Required
Skills
- New York Workers Compensation knowledge
- Claims adjudication
- Customer service
- Problem solving
- Analysis
- Troubleshooting
- Judgment
- Clear and conceptual thinking
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
Location
- Syracuse, NY - Hybrid
- Remote
Work Type
- Hybrid
- Remote
Experience Level
- Minimum of two (2) years of claims management experience
Education Level
- 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
Salary/Compensations
- 90 - 95K
Benefits
- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical
- Dental
- Vision
- 401K on day one
- 401k and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
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.