Sedgwick Claims Management Services, Inc. logo

Claims Examiner | No Fault- PIP | Lit Required | New York

Job Overview

Location

US Telecommuter

Job Type

Full-time

Category

Product Management

Date Posted

May 2, 2026

Full Job Description

đź“‹ Description

  • • Investigates, negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions, best practices, and jurisdictional requirements.
  • • Manages moderately complex to complex PIP/Med Pay claims across multiple jurisdictions, evaluates loss details, negotiates settlements, and maintains high productivity and customer service.
  • • Works within Sedgwick Claims Management Services, Inc., a nationally recognized employer certified as a Great Place to Work® and ranked among Newsweek’s America’s Greatest Workplaces and Fortune’s Best Workplaces in Financial Services & Insurance.
  • • Develops expertise in state laws, regulations, and claim procedures while gaining experience in independent claim handling, documentation, and proactive communication with stakeholders.

🏖️ Benefits

  • • Flexible work schedule
  • • Referral incentive program
  • • Career development and promotional growth opportunities
  • • Comprehensive benefits including medical, dental, vision, 401K on day one
  • • PTO, disability and life insurance, employee assistance, flexible spending or health savings account

Skills & Technologies

Design
Onsite
Degree Required

Ready to Apply?

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Sedgwick Claims Management Services, Inc. logo
Sedgwick Claims Management Services, Inc.
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About Sedgwick Claims Management Services, Inc.

Sedgwick is a global provider of technology-enabled risk, benefits and integrated business solutions, primarily handling insurance claims, managed care, absence and disability, and productivity management for employers, carriers, and administrators. The company processes millions of claims annually across workers' compensation, property, casualty, disability, and other lines, leveraging analytics and digital platforms to improve outcomes, reduce costs, and enhance customer and employee experiences.

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