Sedgwick · 2 days ago
Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client
Syracuse, NY
Full-time
Hybrid
Mid, Senior Level
$85K/yr - $95K/yr
2+ years expSedgwick is a leading company known for its caring culture and commitment to work-life balance. They are seeking a highly motivated Workers' Compensation Claims Examiner to manage and process claims, ensuring compliance with New York regulations and providing effective communication with claimants and clients.
BankingInsuranceRisk Management
Responsibilities
Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements
Ensure compliance with New York workers' compensation laws, including timely filing of reports, adherence to benefit payment timelines, and compliance with statutory requirements
Negotiate settlements of claims within designated authority to reach claim resolution
Provide clear and effective communication with the claimant and client
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner
Maintain accurate and comprehensive records in the claims management system, documenting all actions, decisions, and correspondence related to each claim
Qualification
Required
Minimum of (2) years of workers' compensation claims handling experience
Experience specifically with New York jurisdictional regulations, including knowledge of New York State Workers' Compensation Board rules and procedures
Experience with Public Entity claims management
High school diploma or equivalent; a college degree or relevant certifications (e.g., WCCP, AIC) is a plus
Strong understanding of workers' compensation claims processes, policies, and legal requirements in New York
Excellent written and verbal communication skills
Strong analytical skills with attention to detail and accuracy
Ability to manage multiple claims simultaneously and prioritize workload effectively
Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook)
Ability to negotiate settlements and resolve claims disputes effectively
Benefits
Medical
Dental
Vision
401k on day one
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Company
Sedgwick
Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1.5BKey Investors
Altas PartnersLa Caisse
2024-09-12Private Equity· $1B
2018-12-01Private Equity
2018-09-12Acquired
Leadership Team
Michael Arbour
Chairman & Chief Executive Officer
Kalani Reelitz
Global Chief Financial Officer
Recent News
Morningstar.com
2025-11-10
2025-09-04
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