Workers Compensation Claims Adjuster – NY Jurisdictional Knowledge, NY Licensing Required

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🗽 New York – Remote

🗽 New York – Remote

💵 $80k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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Sedgwick

WebsiteLinkedInAll Job Openings

10,000+ employees

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• Analyze New York Workers Compensation Lost-Time claims on behalf of our valued clients to determine benefits due. • Ensure ongoing adjudication of claims within service expectations and industry best practices. • Investigate and gather information to determine 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.

🎯 Requirements

• 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. • 3 years of New York Workers Comp claims management experience or equivalent combination of education and experience required. • Jurisdiction Knowledge: New York. • Licensing: New York.

🏖️ Benefits

• 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.