CA Workers' Comp Claims Examiner — Hybrid & Growth

Sedgwick Claims Management Services Ltd; Roseville (CA); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development

Comprehensive benefits on day one

Job summary

Sedgwick in Roseville, CA is seeking a Claims Examiner to analyze complex California workers’ compensation claims and determine benefits due, including high-exposure and litigated matters. You will manage investigations, negotiate settlements, set reserves, and ensure timely payments, working with clients, carriers, and attorneys in a hybrid environment (2 days onsite).

The ideal candidate has at least four years of CA workers’ compensation experience, California jurisdictional knowledge, and a

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Four (4) years of California workers' compensation claims management experience or equivalent.
• California jurisdictional knowledge required; SIP or obtaining within one year of hire.

Responsibilities

• Analyzes and processes complex or technically difficult workers' compensation claims.
• Negotiates settlement of claims within designated authority.
• Calculates reserves and manages reserve adequacy through the life of the claim.
• Calculates and pays benefits; approves and makes timely claim payments and adjustments.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process and cost-effective resolution.

Skills

California workers' comp

Claims management

Education

Bachelor's degree

Job description

Sedgwick in Roseville, CA is seeking a Claims Examiner to analyze complex California workers’ compensation claims and determine benefits due, including high-exposure and litigated matters. You will manage investigations, negotiate settlements, set reserves, and ensure timely payments, working with clients, carriers, and attorneys in a hybrid environment (2 days onsite).

The ideal candidate has at least four years of CA workers’ compensation experience, California jurisdictional knowledge, and a