Workers Compensation Claims Examiner Jobs for OPT Students
Workers Compensation Claims Examiner jobs are a strong fit for F-1 OPT students with backgrounds in insurance, business, or healthcare administration. Most roles qualify as specialty occupations for H-1B sponsorship, and STEM OPT extensions are not available for this field, making employer sponsorship conversations essential from day one.
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Get Access To All JobsINTRODUCTION
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
ROLE AND RESPONSIBILITIES
Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client
We are seeking a highly motivated and experienced Workers' Compensation Claims Examiners to join our team. The ideal candidate will have at least 2 years of claims handling experience, with a strong background in New York jurisdictional regulations and processes. This position is responsible for managing and processing workers' compensation claims, ensuring timely and accurate decisions while adhering to all applicable laws and regulations.
We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBILITIES
- Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements.
- Ensure compliance with New York workers' compensation laws, including timely filing of reports, adherence to benefit payment timelines, and compliance with statutory requirements.
- Negotiate settlements of claims within designated authority to reach claim resolution.
- Provide clear and effective communication with the claimant and client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
- Maintain accurate and comprehensive records in the claims management system, documenting all actions, decisions, and correspondence related to each claim.
OFFICE LOCATION
Hybrid schedule if within 25 miles of Syracuse, NY office (3 days work from home)
Remote if outside of 25 miles
QUALIFICATIONS
- Experience:
- Minimum of (2) years of workers' compensation claims handling experience.
- Experience specifically with New York jurisdictional regulations, including knowledge of New York State Workers' Compensation Board rules and procedures.
- Experience with Public Entity claims management.
- Education:
-
High school diploma or equivalent; a college degree or relevant certifications (e.g., WCCP, AIC) is a plus.
-
Skills and Abilities:
- Strong understanding of workers' compensation claims processes, policies, and legal requirements in New York.
- Excellent written and verbal communication skills.
- Strong analytical skills with attention to detail and accuracy.
- Ability to manage multiple claims simultaneously and prioritize workload effectively.
- Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook).
- Ability to negotiate settlements and resolve claims disputes effectively.
TAKING CARE OF YOU
- Flexible work schedule.
- Capped Case Load.
- In-depth training.
- Sedgwick funded licensing.
- Referral incentive program.
- Opportunity to work in an agile or remote environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85k-$95k). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
INTRODUCTION
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
ROLE AND RESPONSIBILITIES
Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client
We are seeking a highly motivated and experienced Workers' Compensation Claims Examiners to join our team. The ideal candidate will have at least 2 years of claims handling experience, with a strong background in New York jurisdictional regulations and processes. This position is responsible for managing and processing workers' compensation claims, ensuring timely and accurate decisions while adhering to all applicable laws and regulations.
We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBILITIES
- Independently handle a capped caseload of workers' compensation claims, from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements.
- Ensure compliance with New York workers' compensation laws, including timely filing of reports, adherence to benefit payment timelines, and compliance with statutory requirements.
- Negotiate settlements of claims within designated authority to reach claim resolution.
- Provide clear and effective communication with the claimant and client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
- Maintain accurate and comprehensive records in the claims management system, documenting all actions, decisions, and correspondence related to each claim.
OFFICE LOCATION
Hybrid schedule if within 25 miles of Syracuse, NY office (3 days work from home)
Remote if outside of 25 miles
QUALIFICATIONS
- Experience:
- Minimum of (2) years of workers' compensation claims handling experience.
- Experience specifically with New York jurisdictional regulations, including knowledge of New York State Workers' Compensation Board rules and procedures.
- Experience with Public Entity claims management.
- Education:
-
High school diploma or equivalent; a college degree or relevant certifications (e.g., WCCP, AIC) is a plus.
-
Skills and Abilities:
- Strong understanding of workers' compensation claims processes, policies, and legal requirements in New York.
- Excellent written and verbal communication skills.
- Strong analytical skills with attention to detail and accuracy.
- Ability to manage multiple claims simultaneously and prioritize workload effectively.
- Proficiency with claims management software and Microsoft Office Suite (Excel, Word, Outlook).
- Ability to negotiate settlements and resolve claims disputes effectively.
TAKING CARE OF YOU
- Flexible work schedule.
- Capped Case Load.
- In-depth training.
- Sedgwick funded licensing.
- Referral incentive program.
- Opportunity to work in an agile or remote environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($85k-$95k). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
How to Get Visa Sponsorship in Workers Compensation Claims Examiner
Target insurance carriers over third-party administrators
Large insurance carriers like Travelers, Liberty Mutual, and Zurich typically have established immigration programs. Third-party administrators often lack the infrastructure to sponsor visas, so prioritize direct insurers when OPT sponsorship is your goal.
Clarify your OPT timeline upfront
Standard OPT gives you 12 months of work authorization. Workers compensation hiring cycles can run three to four months, so apply early and communicate your authorization end date honestly during initial recruiter conversations to avoid late-stage offer complications.
Frame your degree as the qualifying credential
Claims examiner roles typically require a bachelor's degree in business, finance, or a related field to qualify as a specialty occupation for H-1B. Lead with your degree field in applications and interviews to establish your eligibility clearly.
Pursue state adjuster licensing during your OPT period
Many states require a property and casualty adjuster license for claims work. Obtaining yours during OPT demonstrates commitment, removes an employer onboarding cost, and strengthens your H-1B petition by showing specialized credentials tied to the role.
Highlight analytical and compliance skills in your application
Workers compensation employers want candidates who can interpret medical reports, apply state regulations, and manage reserves accurately. Emphasizing these competencies positions you as a strong H-1B candidate by demonstrating the specialized knowledge specialty occupation requires.
Workers Compensation Claims Examiner jobs are hiring across the US. Find yours.
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Get Access To All JobsFrequently Asked Questions
Can F-1 OPT students work as Workers Compensation Claims Examiners?
Yes. F-1 students who have completed a degree in business, finance, insurance, or a related field can work as Workers Compensation Claims Examiners under post-completion OPT. The role generally qualifies as a specialty occupation because it requires applying complex state regulations, medical knowledge, and financial analysis that a relevant bachelor's degree supports. You can work for any employer willing to hire within your OPT authorization period.
Does a Workers Compensation Claims Examiner role qualify for H-1B sponsorship?
Workers Compensation Claims Examiner positions can qualify for H-1B sponsorship as a specialty occupation, provided the employer's job description requires a bachelor's degree or higher in a specific field like business, finance, or healthcare administration. Roles that accept any degree regardless of field are harder to sponsor. Employers who have sponsored claims professionals before are your best targets. Browse OPT-friendly openings on Migrate Mate to identify companies with a track record of sponsoring this role.
Is a Workers Compensation Claims Examiner role eligible for a STEM OPT extension?
No. Workers compensation claims examination is not a STEM-designated field under the DHS STEM OPT list, so you cannot extend your OPT by 24 months through that pathway. Your standard post-completion OPT is 12 months. This makes it especially important to identify an employer willing to file an H-1B petition during your first year, since there is no STEM extension to serve as a bridge if sponsorship is delayed.
What degree backgrounds do employers typically look for in OPT candidates applying for claims examiner roles?
Most employers prefer candidates with degrees in business administration, finance, economics, healthcare administration, or pre-law. These fields provide the regulatory, financial, and analytical foundation claims examiners apply daily when evaluating medical records, calculating indemnity benefits, and negotiating settlements. A degree in one of these areas also strengthens an eventual H-1B petition by demonstrating the direct relationship between your academic background and the duties of the role.
How early should I start applying for Workers Compensation Claims Examiner jobs on OPT?
Start applying at least three to four months before your OPT authorization begins or expires. Hiring processes in insurance often involve background checks, licensing verification, and multi-round interviews that take longer than in other industries. If you need H-1B sponsorship, your employer must submit the petition by early April for an October 1 start date, so your timeline for securing an offer is tighter than it looks. Use Migrate Mate to filter for roles open to OPT candidates.
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