Claims Examiner – Workers Compensation

Sedgwick

Claims Examiner managing Workers Compensation claims for clients while ensuring compliance with service expectations and industry best practices. Evaluating claims and negotiating settlements as needed.

Posted 6/4/2026full-timeSyracuse • New York • 🇺🇸 United StatesMid-LevelSenior💰 $63,404 - $85,000 per yearWebsite

ATS Keywords

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Hard Skills

claims managementworkers compensation analysisnegotiationsettlement computationbenefit payment processingaction plan developmentreserve managementstate filing preparationlitigation oversight

Soft Skills

communicationproblem-solvingorganizational skills

Certifications & Qualifications

professional certification

Industry Keywords

NY jurisdictionNY licensingcomplianceclaim exposure evaluation

About the role

Key responsibilities & impact

Analyze Workers Compensation claims to determine benefits due.
Manage complex workers’ compensation claims from initial investigation through final resolution.
Evaluate claim exposure and develop action plans.
Negotiate settlements and ensure compliance with guidelines.
Establish and maintain accurate reserves throughout the life of each claim.
Compute and issue benefit payments, adjustments, and settlements timely.
Prepare and submit required state filings within deadlines.
Oversee litigation and partner with vendors.
Communicate with claimants and clients frequently.

Requirements

What you’ll need

High School Diploma or GED required.
Bachelor's degree from an accredited college or university preferred.
5 years of claims management experience or equivalent combination of education and experience required.
Professional certification as applicable to line of business preferred.
NY jurisdiction and NY licensing knowledge.

Benefits

Comp & perks

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