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

Primary Purpose of the Role

To analyze 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.

Essential Responsibilities

• Analyze and process claims through well‑developed action plans to a timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with the claimant and the client.
• Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.

Qualifications

• 2 years of claims management experience or equivalent combination of education and experience.
• 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 preferred.

Location & Schedule

• Hybrid schedule if within commutable distance to Syracuse, NY office.
• Remote if outside of commutable distance to Syracuse, NY office.

Compensation & Benefits

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. The starting pay range for this role is $70,000–$80,000. A comprehensive benefits package is offered, including but not limited to medical, dental, vision, 401(k), paid time off, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Equal Opportunity Employer

Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace.