Claims Associate - Flexible, On-Site Workers' Comp

Sedgwick; Orange (CA); On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits (medical, dent,

Vision, 401K, PTO

Job summary

Sedgwick is hiring a Claims Associate to analyze and adjudicate workers’ compensation claims on-site in Rancho Cordova, CA or Orange, CA. You’ll work within a supportive culture, balancing quality service with efficient processing.

The role emphasizes close supervision of medical-only and minor lost-time claims, with opportunities to grow in a global risk & claims organization offering competitive benefits.

Qualifications

• One year of general office experience or equivalent.
• Claims industry experience preferred.
• High school diploma or GED.
• Licenses as required.

Responsibilities

• Adjudicate medical-only and minor lost-time workers' compensation claims under supervision.
• Support other claims representatives on larger or more complex claims.
• Process workers' compensation claims determining compensability and benefits due.
• Communicate claim actions with claimants, clients and medical contacts.
• Ensure claim files are documented and claims coding is correct.
• May process routine payments and status reports for medical claims.
• Maintain professional client relationships.

Skills

Adjudication

Communication

Documentation

Team support

Education

High school diploma or GED

Job description

Sedgwick is hiring a Claims Associate to analyze and adjudicate workers’ compensation claims on-site in Rancho Cordova, CA or Orange, CA. You’ll work within a supportive culture, balancing quality service with efficient processing.

The role emphasizes close supervision of medical-only and minor lost-time claims, with opportunities to grow in a global risk & claims organization offering competitive benefits.