Workers Compensation Claims Examiner | NY Jurisdiction Experience & NY License Required | Dedicated Client

Sedgwick•Syracuse, NY

1d•$80,000 - $90,000•Hybrid

About The Position

Sedgwick is hiring a Workers Compensation Claims Examiner to analyze New York lost-time workers’ compensation claims on behalf of clients and determine benefits due. The role involves ongoing claim adjudication in accordance with service expectations, industry best practices, and client-specific requirements. The position is based in Syracuse, New York, with a hybrid schedule of two days in the office and three days working from home; remote work is available to candidates outside commuting distance of the Syracuse office. The work week is 37.5 hours. The successful candidate will investigate and evaluate claims, develop action plans, negotiate settlements within delegated authority, communicate claim activity to claimants and clients, and report claims to excess carriers. Sedgwick describes its culture as guided by empathy, accountability, collaboration, growth, and inclusion, and offers career development opportunities and a comprehensive benefits package.

Requirements

At least 2 years of claims management experience or an equivalent combination of education and experience.
High school diploma or GED.
New York jurisdiction knowledge and experience.
New York license required.

Nice To Haves

Bachelor’s degree from an accredited college or university.
Professional certification applicable to the line of business.

Responsibilities

Analyze and process claims through well-developed action plans to reach appropriate and timely resolutions.
Investigate claims and gather information to determine claim 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 direction.
Adjudicate New York lost-time workers’ compensation claims and determine benefits due while meeting service expectations, industry best practices, and client-specific requirements.