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Workers' Compensation Claims Representative | NY Lost-Time Experience | NY Licensing

Remote, USA Full-time Posted 2025-11-24

Sedgwick is a global industry leader recognized for its excellence in customer service and a caring workplace culture. The Workers' Compensation Claims Representative will analyze and process New York Lost-Time claims, ensuring timely adjudication and communication with clients and claimants. This role offers opportunities for professional development and a flexible work environment.


Responsibilities

  • 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

Skills

  • 1 - 2 years of claims management experience or equivalent combination of education and experience required
  • High School Diploma or GED required
  • Jurisdiction Knowledge: NY
  • Licensing: NY
  • Bachelor's degree from an accredited college or university preferred
  • Professional certification as applicable to line of business preferred

Benefits

  • Medical
  • Dental
  • Vision
  • 401K on day one
  • PTO
  • Disability and life insurance
  • Employee assistance
  • Flexible spending or health savings account
  • Other additional voluntary benefits

Company Overview

  • Sedgwick is the world’s leading risk and claims administration partner, helping clients thrive by navigating the unexpected. It was founded in 1969, and is headquartered in Memphis, Tennessee, USA, with a workforce of 10001+ employees. Its website is http://www.sedgwick.com.

  • Company H1B Sponsorship

  • Sedgwick has a track record of offering H1B sponsorships, with 11 in 2025, 10 in 2024, 4 in 2023, 9 in 2022, 14 in 2021, 10 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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