Workers Compensation Claims Adjuster, NY Jurisdiction Experience Required

Sedgwick

. Analyze Lost-Time Workers Compensation claims on behalf of clients to determine benefits due .

Posted 10/8/2026full-timeSyracuse • New York • United StatesJuniorMid-Level💰 $85,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing and managing Lost-Time Workers Compensation claims, ensuring timely resolution and adherence to industry best practices. Proficient in negotiating settlements and communicating effectively with clients and claimants while managing multiple priorities under pressure.

Highest-signal resume keywords

Claims Management ExperienceNY Jurisdiction KnowledgeNegotiation SkillsProblem SolvingProfessional Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisAdjudicationAction Plan DevelopmentInformation GatheringSettlement NegotiationComputer Keyboarding

Soft Skills

Clear ThinkingExcellent JudgmentDiscretionAbility to Handle StressAbility to Meet Deadlines

Certifications & Qualifications

Professional Certification

Industry Keywords

Workers CompensationClaims ProcessingClient Service RequirementsExcess Carrier Reporting

About the role

Key responsibilities & impact

Analyze Lost-Time Workers Compensation claims on behalf of clients to determine benefits due
Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
Analyze and process claims through action plans toward timely resolution
Investigate and gather information to determine claim exposure
Negotiate claim settlements within designated authority
Communicate claim activity and processing with claimants and clients
Report claims to the excess carrier
Respond to requests for directions professionally and timely

Requirements

What you’ll need

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 jurisdiction knowledge
NY licensing preferred, not required
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress
Ability to handle multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding
Hearing, vision and talking

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Career development and promotional growth opportunities
Medical, dental, and vision insurance
401K and matching
Paid time off (PTO)
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Reasonable accommodations where applicable and appropriate