California Workers' Comp Claims Specialist (Hybrid)

Sedgwick Claims Management Services Ltd; Concord (CA); Hybrid; USD 80.000 - 100.000; Vollzeit

Benefits dieser Stelle

Flexible work schedule

Referral incentive program

Career development and promotional 성장

Zusammenfassung

Sedgwick Claims Management Services Ltd in Concord, CA is seeking a Workers' Compensation Claims Examiner to analyze complex California WC claims and determine benefits due, including high-exposure cases. The role covers investigation, settlement negotiation, and managing litigation, with emphasis on timely adjudication, reserves, state filings, and client service in a hybrid work environment.

Requirements include 4+ years of CA workers' compensation claims experience, California jurisdiction

Qualifikationen

• Four (4) years of California workers' compensation claims management experience or equivalent.
• California jurisdictional knowledge required; SIP licensure or must be obtained within one year of hire date.
• Bachelor's degree preferred; professional certification as applicable to line of business.

Aufgaben

• Analyzes and processes complex workers' compensation claims by investigating information to determine exposure.
• Negotiates settlements within designated authority and resources.
• Calculates and assigns reserves and pays benefits due with timely adjustments.
• Prepares state filings within statutory limits and manages litigation processes.
• Reports claims to excess carriers and coordinates with clients and attorneys.

Kenntnisse

Claims management experience

Litigation handling

Settlement negotiation

Analytical thinking

Ausbildung

Bachelor's degree

Professional certification (preferred)

Jobbeschreibung

Sedgwick Claims Management Services Ltd in Concord, CA is seeking a Workers' Compensation Claims Examiner to analyze complex California WC claims and determine benefits due, including high-exposure cases. The role covers investigation, settlement negotiation, and managing litigation, with emphasis on timely adjudication, reserves, state filings, and client service in a hybrid work environment.

Requirements include 4+ years of CA workers' compensation claims experience, California jurisdiction