Workers' Compensation Claims Examiner – NY, VT Jurisdictional Knowledge

Sedgwick

Workers' Compensation Claims Examiner analyzing and processing claims for a global industry leader. Positioned to adjudicate complex customer claims in a supportive and energetic culture.

Posted 5/8/2026full-timeRemote • New York, Vermont • 🇺🇸 United StatesMid-LevelSenior💰 $70,000 - $80,000 per yearWebsite

About the role

Key responsibilities & impact

Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Negotiating settlement of claims within designated authority.
Communicating claim activity and processing with the claimant and the client.
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements

What you’ll need

3 - 5 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.
Jurisdiction Knowledge: NY, VT, & ME (will train on other states).
Licensing: NY & VT licensing preferred; not required

Benefits

Comp & perks

Flexible work schedule.
Referral incentive program.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims managementnegotiationinvestigationinformation gatheringreporting

Soft Skills

communicationprofessionalismtimeliness

Certifications

professional certification