CA Workers' Comp Claims Analyst - Growth & Benefits

Sedgwick; Heber (UT); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Flexible schedule

Career development

Job summary

Sedgwick is seeking a seasoned Claims Examiner for Workers Compensation to adjudicate claims for leading clients in a dynamic environment. You will evaluate benefits due, manage complex investigations, and ensure timely resolutions consistent with client service standards.

The role emphasizes strong partnerships with clients, accurate claim assessment, and effective settlement negotiations within authority limits. A supportive benefits package and opportunities for growth are provided.

Qualifications

• 3 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.

Responsibilities

• Analyze Workers Compensation claims to determine benefits due, within service expectations and client requirements.
• Investigate and gather information to determine exposure and progress claims toward resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimant and client.
• Report claims to excess carrier and respond to directions promptly.

Skills

Claims management

Negotiation

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick is seeking a seasoned Claims Examiner for Workers Compensation to adjudicate claims for leading clients in a dynamic environment. You will evaluate benefits due, manage complex investigations, and ensure timely resolutions consistent with client service standards.

The role emphasizes strong partnerships with clients, accurate claim assessment, and effective settlement negotiations within authority limits. A supportive benefits package and opportunities for growth are provided.