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Sedgwick · 2 months ago

Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required

Syracuse, NY

Full-time

Hybrid

Mid, Senior Level

$80K/yr - $90K/yr

5+ years exp

Sedgwick is a global industry leader in claims management, recognized for its excellence and customer service. The Workers Compensation Claims Examiner will analyze and process claims to determine benefits due while ensuring compliance with service expectations and industry best practices.

BankingInsuranceRisk Management

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

Qualification

Workers Compensation KnowledgeNew York Jurisdiction KnowledgeClaims Management ExperienceProfessional CertificationAnalytical SkillsJudgmentDiscretionNegotiation SkillsCommunication Skills

Required

Five years of claims management experience or equivalent combination of education and experience

New York jurisdictional knowledge and licensing required

Preferred

Bachelor's degree from an accredited college or university

Professional certification as applicable to line of business

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 on day one.

Medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.