Advanced Workers' Comp Claims Specialist

Sedgwick Claims Management Services Ltd; Long Beach (CA); On-site; USD 80,000 - 105,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits: medical,Dental

Job summary

Sedgwick is hiring a Claims Examiner for California workers’ compensation in Roseville/Long Beach. You’ll adjudicate complex claims, determine benefits, and coordinate settlements within authority. The role offers growth opportunities and a comprehensive benefits package.

Qualified candidates have a CA workers’ comp background, a bachelor’s degree, and SIP knowledge or a plan to obtain it within a year. Sedgwick emphasizes flexible schedules and career development.

Qualifications

• Bachelor's degree preferred.
• 4 years of California workers' compensation claims management experience.
• California jurisdictional knowledge; SIP license required or to be obtained within 1 year of hire.

Responsibilities

• Analyze complex California workers' compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Calculate and assign reserves; manage reserve adequacy.
• Prepare state filings within statutory limits.
• Manage litigation process and ensure timely, cost-effective resolution.

Skills

CA claims management experience

Analytical ability

Problem solving

Education

Bachelor's degree

Professional certification (preferred)

Job description

Sedgwick is hiring a Claims Examiner for California workers’ compensation in Roseville/Long Beach. You’ll adjudicate complex claims, determine benefits, and coordinate settlements within authority. The role offers growth opportunities and a comprehensive benefits package.

Qualified candidates have a CA workers’ comp background, a bachelor’s degree, and SIP knowledge or a plan to obtain it within a year. Sedgwick emphasizes flexible schedules and career development.