California Workers' Comp Claims Examiner

Sedgwick; Los Angeles (CA); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) on day one

PTO

Disability and life insurance

Employee assistance program

Flexible spending account / health-sav

Job summary

Sedgwick in West Hills, CA is seeking a seasoned California workers' compensation examiner to analyze claims, determine benefits, and adjudicate within service expectations. You will join a global leader known for its excellence and customer service in a role that supports major clients and a broad network of experts.

Ideal candidates have 3+ years of CA WC knowledge, strong negotiation skills, and a commitment to client service.

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.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Skills

Claims management experience

California WC knowledge

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick in West Hills, CA is seeking a seasoned California workers' compensation examiner to analyze claims, determine benefits, and adjudicate within service expectations. You will join a global leader known for its excellence and customer service in a role that supports major clients and a broad network of experts.

Ideal candidates have 3+ years of CA WC knowledge, strong negotiation skills, and a commitment to client service.