Claims Examiner | Workers Compensation | Remote for California Residents - SIP Required

Sedgwick; California (MO); Remote; USD 90,000 - 110,000; Full time

Job summary

An established industry player is seeking a Claims Examiner to analyze and process workers' compensation claims. This remote role for California residents requires expertise in claims management and negotiation skills. You will ensure claims are adjudicated within industry standards and communicate effectively with claimants and clients. The company offers a flexible work schedule, comprehensive benefits, and opportunities for career growth. Join a diverse and inclusive environment while making a meaningful impact in the claims process.

Benefits

Flexible work schedule

Remote work options

Referral incentives

Comprehensive medical benefits

Dental and vision coverage

401K

Paid time off

Qualifications

• Minimum 5 years of claims management experience or equivalent education.
• SIP licensing and California jurisdiction knowledge required.

Responsibilities

• Analyze and process claims, investigating and gathering information.
• Negotiate claim settlements within designated authority.

Skills

Claims Management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's Degree

Job description

Claims Examiner | Workers Compensation | Remote for California Residents - SIP Required

Join Sedgwick as a Claims Examiner | Workers Compensation | Remote for California Residents - SIP Required.

Position Overview: You will analyze workers' compensation claims, determine benefits due, and ensure claims are adjudicated within industry standards, client requirements, and service expectations.

Key Responsibilities:

1. Analyze and process claims, investigating and gathering information to assess exposure.
2. Negotiate claim settlements within designated authority.
3. Communicate claim activity with claimants and clients.
4. Report claims to excess carriers and respond to requests promptly.

Qualifications:

• Minimum 5 years of claims management experience or equivalent education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certifications are a plus.
• SIP licensing and California jurisdiction knowledge required.

Benefits & Perks:

• Flexible work schedule and remote work options.
• Referral incentives, career growth opportunities, and comprehensive benefits including medical, dental, vision, 401K, PTO, and more.

Additional Information:

This role offers a salary range of $90,000-$110,000/year, depending on experience and location, with bonus eligibility. Sedgwick is an Equal Opportunity Employer and promotes diversity and inclusion.