Workers Compensation Claims Examiner – Jurisdiction Experience: NY

Sedgwick

. Analyze New York lost-time claims on behalf of clients to determine benefits due .

Posted 10/22/2026full-timeSyracuse • New York • United StatesJuniorMid-Level💰 $90,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing and processing New York lost-time claims, ensuring timely resolution and adherence to industry best practices. Proficient in negotiating settlements and communicating effectively with claimants and clients while managing multiple priorities under pressure.

Highest-signal resume keywords

Claims Management ExperienceNew York Jurisdiction KnowledgeNegotiation SkillsAnalytical SkillsCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingInvestigation SkillsSettlement NegotiationReporting ClaimsProblem SolvingDeadline Management

Soft Skills

Clear ThinkingExcellent JudgmentDiscretionStress Management

Tools & Technologies

Computer Keyboarding

Certifications & Qualifications

High School Diploma or GEDNew York LicensingProfessional Certification (Preferred)

Industry Keywords

Lost-Time ClaimsAdjudicationClient Service RequirementsExcess Carrier

About the role

Key responsibilities & impact

Analyze New York lost-time 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 to 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 professionally and promptly to requests for directions
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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
Minimum of two (2) years of claims management experience or equivalent combination of education and experience required
New York jurisdiction knowledge
New York licensing required
Ability to analyze and process claims
Ability to investigate and gather information to determine claim exposure
Ability to negotiate settlements within designated authority
Ability to communicate claim activity and processing with claimants and clients
Ability to report claims to the excess carrier 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 abilities

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Medical, dental, and vision benefits
401(k) and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits
Hybrid or remote work arrangement based on distance from the office
Professional development opportunities