Claims Examiner role at Sedgwick analyzing workers' compensation claims and ensuring timely adjudication. Requires 5 years of claims management experience and California workers' compensation knowledge.
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Hybrid Workers Compensation Claims Examiner – NY Jurisdictional Knowledge, NY Licensing Required
Posted 2 months ago
About the role
- Workers Compensation Claims Examiner adjudicating complex customer claims for global industry leader. Analyzing claims, negotiating settlements, and communicating with clients in a dynamic environment.
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
- Five years of claims management experience or equivalent combination of education and experience required.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- New York Jurisdiction Knowledge and Licensing 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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