Workers Compensation Claims Examiner | NY Jurisdiction & Subrogation Experience & NY Licensing Required
Sedgwick · NY, US
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About the Role
Join Sedgwick, a global industry leader, to adjudicate complex customer claims and deliver innovative solutions. Grow your career in an energetic culture known for excellence and customer service, leveraging a broad global network of experts and diverse professional development opportunities.
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.
- Analyze Lost-Time Workers Compensation claims to determine benefits due, ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements.
Requirements
- 5 years of claims management experience or equivalent combination of education and experience required.
- Subrogation experience required.
- NY Jurisdiction and Subrogation Experience & NY Licensing Required.
Skills
- Clear and conceptual thinking ability
- Excellent judgment
- Troubleshooting
- Problem solving
- Analysis
- Discretion
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Hearing
- Vision
- Talking
Location
- Syracuse, NY
- Remote
Work Type
- Hybrid
- Remote
Experience Level
- 5 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
- $80,000 - $90,000
Benefits
- Flexible work schedule
- Referral incentive program
- 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.