California Workers' Comp Claims Examiner (Hybrid)

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

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick is hiring a Claims Examiner for the California jurisdiction in Rancho Cordova. The role involves analyzing complex workers' compensation claims, adjudicating benefits, and negotiating settlements within authority limits.

The position requires five years of claims experience and California jurisdiction knowledge, with a flexible, hybrid work arrangement and a strong focus on client service. Sedgwick offers comprehensive benefits and career growth opportunities.

Qualifications

• Bachelor's degree preferred.
• Five years of claims management experience required.
• California jurisdiction knowledge required; SIP (or obtained within 1 year) is preferred.

Responsibilities

• Analyze complex workers' compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Prepare state filings and manage litigation processes.
• Coordinate vendor referrals for investigation or litigation management.

Skills

Five years claims experience

California knowledge

Education

Bachelor's degree

Job description

Sedgwick is hiring a Claims Examiner for the California jurisdiction in Rancho Cordova. The role involves analyzing complex workers' compensation claims, adjudicating benefits, and negotiating settlements within authority limits.

The position requires five years of claims experience and California jurisdiction knowledge, with a flexible, hybrid work arrangement and a strong focus on client service. Sedgwick offers comprehensive benefits and career growth opportunities.