Claims Examiner

5 days ago


New York, New York, United States Sedgwick Full time

About the Role:

Sedgwick is seeking a highly skilled Claims Examiner to join our team in New York. As a Claims Examiner, you will be responsible for analyzing and processing complex workers' compensation claims, ensuring timely and accurate resolution. Your expertise will be invaluable in helping our clients navigate the claims process and achieve optimal outcomes.

Key Responsibilities:

  • Analyze and process claims through well-developed action plans to achieve timely resolution.
  • Negotiate settlements within designated authority.
  • Communicate claim activity and processing with claimants and clients.
  • Report claims to excess carriers and respond to requests in a professional and timely manner.

Requirements:

  • 5+ 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.
  • 2+ years of specific NY Lost-Time claims handling experience.
  • Experience handling Public Entity accounts.

What We Offer:

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

About Sedgwick:

Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our team of experts is dedicated to helping our clients navigate the complexities of the claims process and achieve optimal outcomes. If you're passionate about delivering exceptional results and making a meaningful impact, we encourage you to apply for this exciting opportunity.


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