Workers Compensation Claims Examiner | NY Lost-Time Experience & NY Licensing required

About the role

Join Sedgwick, a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands. This role involves analyzing and processing claims through well-developed action plans to an appropriate and timely resolution.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements

• 3 years of claims management experience or equivalent combination of education and experience required.
• A high school diploma or GED required.
• A bachelor's degree from an accredited college or university preferred.
• A professional certification as applicable to line of business preferred.
• NY Licensing: NY required.

Qualifications

• Education & Licensing: 3 years of claims management experience or equivalent combination of education and experience required. 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.
• Jurisdiction Knowledge: NY Licensing: NY required.

Skills

To analyze New York Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Pay

(80K - 90K)

Schedule

Hybrid Schedule : 2 days in-office/3 days work from home 37.5 hour work week