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

About the role

Join Sedgwick, a global industry leader with 33,000 colleagues dedicated to helping people facing unexpected events. As a Workers Compensation Claims Examiner for the New York jurisdiction, you will analyze and adjudicate complex customer claims, deliver innovative solutions, and work within a caring culture that values empathy, accountability, collaboration, growth, and inclusion. You’ll enjoy flexibility, professional development opportunities, and access to a comprehensive benefits package.

Responsibilities

• Analyze and process New York Lost-Time Workers Compensation claims to determine benefits due.
• Investigate and gather information to determine claim exposure.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to excess carriers and respond to requests for direction professionally and timely.
• Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Qualifications

• High School Diploma or GED required.
• 2 years of claims management experience or equivalent combination of education and experience required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification applicable to line of business preferred.
• New York licensing required for Workers Compensation claims jurisdiction.

Benefits

• Medical, dental, and vision coverage.
• 401(k) plan with company matching.
• Paid time off (PTO).
• Disability and life insurance.
• Employee assistance program.
• Flexible spending or health savings account.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Agile work environment.
• Flexible work schedule.

Pay

Starting pay range: $80,000 – $90,000 (based on jurisdiction).

Schedule

Hybrid schedule: 2 days in‑office, 3 days work‑from‑home; 37.5‑hour work week. Open to remote work for candidates outside commutable distance to Syracuse, NY.