Workers Compensation Claims Examiner, NY Jurisdiction Experience

Sedgwick

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

Posted 9/29/2026full-timeSyracuse • New York • United StatesJuniorMid-Level💰 $80,000 - $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 New York Lost-Time Workers Compensation claims, ensuring compliance with industry best practices and client service requirements. Proficient in negotiating claim settlements and effectively communicating with claimants and clients.

Highest-signal resume keywords

Claims Management ExperienceNew York Lost-Time Workers Compensation AnalysisNegotiation SkillsNY Jurisdiction KnowledgeProfessional Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingAdjudicationSettlement NegotiationAction Plan Development

Soft Skills

Communication SkillsProfessionalismTimeliness

Certifications & Qualifications

NY LicenseProfessional Certification

Industry Keywords

Workers CompensationClaims ManagementClient ServiceExcess Carrier Reporting

About the role

Key responsibilities & impact

Analyze New York 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 by investigating and gathering 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 and respond to direction requests 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 license required
Ability to analyze New York Lost-Time Workers Compensation claims
37.5 hour work week

Benefits

Comp & perks

Enjoy work-life balance
Professional development opportunities
Flexibility and autonomy in your daily work, your location, and your career path
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 and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits