Claims Examiner - Workers Compensation | Dedicated Client

Sedgwick; Heber (UT); Vor Ort; USD 52.000 - 68.000; Vollzeit

Benefits dieser Stelle

Medical, dental, vision

401K on day one

Flexible schedule

Career development

Zusammenfassung

Sedgwick is seeking a seasoned Claims Examiner for Workers Compensation to adjudicate claims for leading clients in a dynamic environment. You will evaluate benefits due, manage complex investigations, and ensure timely resolutions consistent with client service standards.

The role emphasizes strong partnerships with clients, accurate claim assessment, and effective settlement negotiations within authority limits. A supportive benefits package and opportunities for growth are provided.

Qualifikationen

• 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.

Aufgaben

• Analyze Workers Compensation claims to determine benefits due, within service expectations and client requirements.
• Investigate and gather information to determine exposure and progress claims toward resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimant and client.
• Report claims to excess carrier and respond to directions promptly.

Kenntnisse

Claims management

Negotiation

Ausbildung

High School Diploma or GED

Bachelor's degree (preferred)

Jobbeschreibung

Fortune Best Workplaces in Financial Services & Insurance

Claims Examiner - Workers Compensation | Dedicated Client 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.

Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment.

PRIMARY PURPOSE OF THE ROLE:

• To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
• 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.

Education & Licensing:

• 3 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.

Benefits:

• Diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
• Excellent judgment, troubleshooting, problem solving, analysis, and discretion; Computer keyboarding
• Auditory/Visual: Hearing, vision and talking
• 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.
• Flexible work schedule.
• Career development and promotional growth opportunities.
• Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

#Claims #ClaimsExaminer

Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.