Workers Compensation Claims Examiner – NY Jurisdiction Experience, NY License Required

Sedgwick

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

Posted 11/9/2026full-timeSyracuse • New York • United StatesJuniorMid-Level💰 $80,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing New York lost-time workers compensation claims, negotiating settlements, and communicating effectively with claimants and clients. Proficient in claims management and investigation, ensuring compliance with NY jurisdiction requirements.

Highest-signal resume keywords

Claims Management ExperienceNY Jurisdiction KnowledgeNegotiation SkillsCommunication SkillsClaims Investigation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingSettlement NegotiationExposure DeterminationReporting Claims

Soft Skills

Client CollaborationEffective Communication

Certifications & Qualifications

NY LicenseProfessional Certification

Industry Keywords

Workers CompensationLost-Time ClaimsAdjudicationService ExpectationsAction Plans

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 toward appropriate and timely resolution
Investigate claims 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 and respond to requests for directions
Collaborate with clients and leverage Sedgwick's global network of experts

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
Analyze New York lost-time workers compensation claims
Ability to investigate claims and gather information to determine 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

Benefits

Comp & perks

Work-life balance
Professional development opportunities
Flexibility and autonomy in daily work, location, and career path
Flexible work schedule
Referral incentive program
Opportunity to work in an agile environment
Career development and promotional growth opportunities
Medical, dental, and vision coverage
401(k) and matching
Paid time off (PTO)
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits