Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client

1 month ago


Syracuse NY United States Sedgwick Full time

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive.

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work.

Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer

Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

OFFICE LOCATIONS
Syracuse, NY - Agile/Hybrid

Candidates outside of the preferred geographic regions listed above may still be considered based on level of experience.

PRIMARY PURPOSE OF THE ROLE: To analyze high-level New York 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 RESPONSIBLITIES MAY INCLUDE

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.

QUALIFICATIONS

Education & Licensing: 5+ 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.
2+ years of specific NY Lost-Time claims handling experience.
Experience handling Public Entity accounts.

Licensing / Jurisdiction Knowledge: Active NY license preferred, not required.

TAKING CARE OF YOU

Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85k-$95k) . A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

#claimsexaminer #claims #hybrid

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

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.



  • Syracuse, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...


  • Syracuse, NY, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...


  • Syracuse, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...


  • Syracuse, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...


  • Syracuse, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...


  • Syracuse, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...


  • Syracuse, New York, United States Sedgwick Full time

    About the OpportunityWe're seeking a highly motivated and experienced Claims Management Professional to join our Workers Compensation team as a Claims Team Lead. In this role, you will oversee multiple teams of examiners and technical staff, providing guidance and support to ensure the smooth operation of claims management processes.The ideal candidate will...


  • Oregon, IL, United States Insurance Placement Solutions Full time

    Insurance Placement Solutions has an immediate opening for a Remote Workers’ Compensation Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of workers’ compensation to independently investigate, evaluate, and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will...


  • Melville, NY, United States Government Employees Insurance Company Full time

    Personal Injury Protection Claims Examiner – Melville, NYSalary: $28.29 per hour / $57,000 annuallyWhat sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Melville, NY office to deliver...


  • Pasadena, CA, United States Nesco Resource Full time

    Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...

  • Claims Representative

    1 month ago


    Concord, CA, United States Nesco Resource Full time

    Description: Looking for an experienced examiner to handle a heavy complex claims desk with mainly litigated claims. I want someone who can move fast and is good at closing claims. This is one of our more complex desks on the team working for a prestigious client so I need someone who is reliable and has good references. Self Insurance Plans Certificate....


  • Huntington Station, NY, United States Government Employees Insurance Company Full time

    Personal Injury Protection Claims Examiner – Melville, NYSalary: $28.29 per hour / $57,000 annuallyWhat sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Melville, NY office to deliver...

  • Claims Adjustor

    2 weeks ago


    Piscataway, NJ, United States Volt Full time

    At Volt, we pride ourselves in our commitment to excellence. Our client in New Jersey is currently hiring Workers’ Compensation Claims Adjuster Medical Only Bring your enthusiasm and experience and apply today! Become a part of a team that is constantly evolving and creating opportunities for a better tomorrow. This is a remote position - can sit...


  • Chicago, IL, United States Aon Hewitt Full time

    Worker’s Compensation Claims Director – Construction & Infrastructure This is a hybrid role with the flexibility to work both virtually and from our Chicago office. Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united...

  • Jr. Attorney

    1 month ago


    Syracuse, United States Lexitas Legal Talent Outsourcing Full time

    Our client, a prominent regional law firm, is seeking a Litigation Associate to join their NY team.This can be a fully remote position and will focus on NY Workers' Compensation defense matters.Entry level attorneys are welcome to apply. This is a partnership track position.Competitive salary 90k to 110k, benefits and bonus.Resumes may be sent to...


  • Albany, NY, United States Fusco Personnel Inc. Full time

    REGISTERED NURSE - WORKERS COMP Scroll down to find an indepth overview of this job, and what is expected of candidates Make an application by clicking on the Apply button. Albany, NY Fusco Personnel is currently searching for a Registered Nurse to provide workers compensation oversight with an emphasis on early intervention and return to work...


  • Los Angeles, CA, United States Lyfe Law, LLP Full time

    Lyfe Law is a mid-size law firm looking to hire a Workers' Compensation Associate Attorney who will handle cases related to workplace injuries and disputes over workers' compensation claims. The qualified candidate must have familiarity with all aspects of Workers' Compensation procedures such as: PQME Panels AME & PQME exams Drafting petitions Advocacy...


  • Rancho Cucamonga, CA, United States Nesco Resource Full time

    Job location: remote or onsite – we are open to either option.Any specific skill/ certification/ license: Self insured certificate, experience handling public entitiesYears of experience: at least 4 yearsCandidate should be local to CA only.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due;...


  • Los Angeles, CA, United States LanceSoft Full time

    WORK DESCRIPTION: The Los Angeles County Metropolitan Transportation Authority (LACMTA) requires a Workers' Compensation Claims Analyst Assistant, who has experience in workers’ compensation claims handling in accordance with state law and labor code, as provided in the Scope of Services (Exhibit 2). LACMTA expects this temporary assignment to last...


  • Clearwater, FL, United States Premier Administrative Solutions Full time

    Overview: Health Insurance Medical Claims Examiner (Initial Training on Site - 30 days - Remote after training) Must live within a reasonable commuting distance of Clearwater, FL Monday-Friday Schedule with daytime hours Responsibilities: Summary: The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established...