Claims Adjuster – Workers Compensation

Sedgwick

. Analyze mid- and higher-level workers compensation claims to determine benefits due .

Posted 10/14/2026full-timeRemote • New York • United StatesMid-LevelSenior💰 $70,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and processing workers compensation claims, negotiating settlements, and communicating effectively with claimants and clients. Proven ability to manage multiple priorities and meet deadlines while maintaining high standards of judgment and discretion.

Highest-signal resume keywords

Claims Management ExperienceWorkers Compensation Claims AnalysisNegotiation of Claim SettlementsCommunication with Claimants and ClientsReporting to Excess Carriers

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingNegotiation SkillsInvestigative SkillsProblem SolvingJudgmentComputer Keyboarding

Soft Skills

Clear ThinkingDiscretionAbility to Handle Work-Related Stress

Certifications & Qualifications

Professional Certification

Industry Keywords

Workers CompensationClaims AdjudicationSubrogationCustomer-Facing SolutionsIndustry Best Practices

About the role

Key responsibilities & impact

Analyze mid- and higher-level workers compensation claims to determine benefits due
Ensure ongoing adjudication of claims within company standards and industry best practices
Identify subrogation of claims and negotiate settlements
Analyze and process claims through action plans toward timely resolution
Investigate and gather information to determine claim exposure
Negotiate settlement of claims within designated authority
Communicate claim activity and processing with claimants and clients
Report claims to the excess carrier and respond to requests for directions
Leverage Sedgwick's global network of experts to learn and share insights
Deliver customer-facing solutions to clients across industries

Requirements

What you’ll need

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
4 years of claims management experience or equivalent combination of education and experience required
Ability to analyze and process workers compensation claims
Ability to investigate and gather information to determine claim exposure
Ability to negotiate claim settlements within designated authority
Ability to communicate claim activity and processing with claimants and clients
Ability to report claims to excess carriers and respond to requests for directions
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress and multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding
Hearing, vision and talking

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Medical, dental, vision, 401K on day one
401k matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Flexible work location, autonomy in daily work, and career path
Professional development opportunities