Claims Adjuster analyzing mid - and higher - level workers compensation claims for Sedgwick. Ensuring accurate determination of benefits and managing claim settlements in a hybrid role.
SE
Hybrid Workers Compensation Claims Examiner, NY Lost-Time Experience, NY Licensing Required
Posted 22 minutes ago
About the role
- Claims Examiner analyzing NY Lost-Time Workers Compensation claims for Sedgwick. Deliver innovative customer-facing solutions and ensure adjudication within service expectations and client requirements.
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.
Requirements
- 2 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.
- NY Licensing: NY required
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.
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