Claims Adjuster - Workers Compensation (HYBRID- Glendale, CA)

Sedgwick Claims Management Services Ltd; Glendale (CA); Hybrid; USD 75,000 - 80,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Medical, dental, vision

401K on day one

PTO

Disability insurance

Life insurance

Job summary

Sedgwick seeks a seasoned Claims Adjuster for Workers' Compensation in Glendale, CA. You will analyze mid- to high-level claims, determine benefits and ensure adjudication aligns with company standards and state guidelines.

The role offers a hybrid work model, exposure to diverse clients, and opportunities for professional development within a global leader in risk and claims management.

Qualifications

• 4 years of claims management experience or equivalent combination of education and experience.
• HS diploma or GED required; bachelor's degree preferred.
• CA workers compensation knowledge with SIP licensing within 1 year.

Responsibilities

• Manages workers compensation claims determining compensability and benefits due on long term indemnity claims.
• Develops and manages action plans to resolution, coordinates return-to-work efforts and approves claim payments.
• Analyzes and adjudicates claims to ensure compliance with state rules and client contracts.

Skills

Analytical thinking

Problem solving

Attention to detail

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable

California workers compensation knowledge (CA WC)

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceClaims Adjuster - Workers Compensation (HYBRID- Glendale, CA)Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?· Apply your knowledge and experience to adjudicate complex workers compensation claims in the context of an energetic culture.· Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.· Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.· Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.· Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.· Enjoy flexibility and autonomy in your daily work, your location, and your career path.· Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.ARE YOU AN IDEAL CANDIDATE? Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment.OFFICE LOCATION: GLENDALE, CALIFORNIAPRIMARY PURPOSE OF THE ROLE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.ESSENTIAL RESPONSIBLITIES MAY INCLUDEManages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.QUALIFICATIONSEducation & Licensing: 4 years of claims management experience or equivalent combination of education and experience required.· 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.Licensing / Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employmentTAKING CARE OF YOUFlexible work schedule.Referral incentive program.Career development and promotional growth opportunities.Diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.WORK ENVIRONMENT REQUIREMENTS INCLUDEWhen applicable and appropriate, consideration will be given to reasonable accommodations.Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlinesPhysical: Computer keyboardingAuditory/Visual: Hearing, vision and talkingAs required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $75-80K. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.#LI-HYBRIDQualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.