About The Position
Sedgwick is seeking a highly motivated and experienced Workers' Compensation Claims Adjuster to join their team. The ideal candidate will have at least 2 years of claims handling experience, with a strong background in New York jurisdictional regulations and processes. This position is responsible for managing and processing workers' compensation claims, ensuring timely and accurate decisions while adhering to all applicable laws and regulations. Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. The company's expertise, combined with advanced AI-enabled technology, 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. Sedgwick is recognized as one of America’s Greatest Workplaces, a National Top Company Certified as a Great Place to Work®, and among Fortune Best Workplaces in Financial Services & Insurance. The company values empathy, accountability, collaboration, growth, and inclusion.
Requirements
- Minimum of (2) years of workers' compensation claims handling experience.
- Experience specifically with New York jurisdictional regulations, including knowledge of New York State Workers' Compensation Board rules and procedures.
- Experience with Public Entity claims management.
- High school diploma or equivalent.
- Strong understanding of workers' compensation claims processes, policies, and legal requirements in New York.
- Excellent written and verbal communication skills.
- Strong analytical skills with attention to detail and accuracy.
- Ability to manage multiple claims simultaneously and prioritize workload effectively.
- Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook).
- Ability to negotiate settlements and resolve claims disputes effectively.
Nice To Haves
- A college degree or relevant certifications (e.g., WCCP, AIC) is a plus.
Responsibilities
- Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements.
- Ensure compliance with New York workers' compensation laws, including timely filing of reports, adherence to benefit payment timelines, and compliance with statutory requirements.
- Negotiate settlements of claims within designated authority to reach claim resolution.
- Provide clear and effective communication with the claimant and client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
- Maintain accurate and comprehensive records in the claims management system, documenting all actions, decisions, and correspondence related to each claim.
Benefits
- Flexible work schedule.
- Capped Case Load.
- In-depth training.
- Sedgwick funded licensing.
- Referral incentive program.
- Opportunity to work in an agile or remote environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
- A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
