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Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public Entity
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$83,279 / year median in the U.S.
+2% projected growth
Job Description
Job Listing ID:
4543475
Job Title:
Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public Entity
Application Deadline:
Open Until Filled
Job Location:
Salem
Date Posted:
08/06/2026
Hours Worked Per Week:
Not Provided
Shift:
Not Provided
Duration of Job:
Either Full or Part Time, more than 6 months
SR You may contact this employer directly.
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Job Summary US Telecommuter Full time R76508 By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional and Licensing Required | Public Entity Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.? Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.? Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.? Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.? Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.? Enjoy flexibility and autonomy in your daily work, your location, and your career path.? Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.?
ARE YOU AN IDEAL CANDIDATE?
We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
PRIMARY PURPOSE OF THE ROLE
To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements .
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
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.
QUALIFICATIONS
Education & Licensing:
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.
Experience:
3-5 years of claims management experience or equivalent combination of education and experience required. Public Entity Workers Compensation preferred
Jurisdiction Knowledge:
NY Required;
NJ Preferred Licensing:
NY TAKING CARE OF YOU
Flexible work schedule.? Referral incentive program.? Opportunity to work in a remote environment Career development and promotional growth opportunities.? A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS INCLUDE
When applicable and appropriate, consideration will be given to reasonable accommo... Claims Adjusters, Examiners, and Investigators
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Compensation
Not Provided
Job Requirements
Experience Required:
See Job Summary
Education Required:
None
Minimum Age:
N/A