Workers Compensation Claims Examiner | NY Jurisdiction

Sedgwick•Syracuse, NY

3d•$70,000 - $80,000•Hybrid

About The Position

The Workers Compensation Claims Examiner analyzes lost-time workers’ compensation claims on behalf of clients to determine benefits due. The role ensures claims are continually adjudicated in accordance with service expectations, industry best practices, and client-specific requirements. The position is hybrid for candidates within commuting distance of Sedgwick’s Syracuse, New York office and remote for candidates outside that area.

Requirements

At least 2 years of claims management experience, or an equivalent combination of education and experience.
High school diploma or GED.
Knowledge of New York jurisdiction.
Ability to think clearly and conceptually and exercise judgment, troubleshooting, problem-solving, analytical skills, and discretion.
Ability to handle work-related stress and multiple priorities simultaneously, and meet deadlines.
Computer keyboarding ability.
Hearing, vision, and talking abilities.

Nice To Haves

Bachelor’s degree from an accredited college or university.
Professional certification applicable to the line of business.
New York license; preferred but not required.

Responsibilities

Analyze and process claims using action plans to reach appropriate, timely resolutions.
Investigate claims and gather information to determine exposure.
Negotiate claim settlements within designated authority.
Communicate claim activity and processing with claimants and clients.
Report claims to the excess carrier and respond professionally and promptly to requests for directions.