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

Sedgwick; United States; Remote; USD 90,000 - 110,000; Full time

Job summary

Join an innovative global leader in claims management, where your expertise will help solve complex problems for renowned brands. In this role, you'll analyze workers' compensation claims, ensuring benefits are accurately adjudicated within service expectations. Enjoy a flexible work environment that promotes professional growth, autonomy, and a caring culture. With comprehensive benefits and a commitment to diversity, this opportunity is perfect for driven individuals ready to make a meaningful impact in a rapidly growing industry.

Benefits

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive medical benefits

401K from day one

Dental and vision insurance

Paid time off

Disability insurance

Life insurance

Qualifications

• 5 years of claims management experience or equivalent.
• High School Diploma or GED required; Bachelor's preferred.

Responsibilities

• Analyze and process claims through action plans to resolution.
• Negotiate settlements within authority limits.
• Communicate claim activity with claimants and clients.

Skills

Claims Management

Negotiation

Customer Service

Analytical Skills

Education

High School Diploma

Bachelor's Degree

SIP Licensing

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 Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

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

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 customer claims in an energetic culture.
• Deliver innovative customer-facing solutions to clients across various industries, including some of the world’s most respected organizations.
• Be part of a rapidly growing, industry-leading global company known for excellence and customer service.
• Leverage Sedgwick’s broad, global network of experts to learn from and share your insights.
• Take advantage of professional development opportunities to perform your best work and grow your career.
• Enjoy flexibility and autonomy in your daily work, location, and career path.
• Access diverse benefits to support your mental, physical, financial, and professional needs.

ARE YOU AN IDEAL CANDIDATE? We seek driven individuals who embody our caring counts model and core values including empathy, accountability, collaboration, growth, and inclusion.

OFFICE LOCATIONS
(ENTER IF ONSITE/HYBRID)
Other hybrid office locations as noted in the posting.

PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims for our clients, determining benefits due and ensuring ongoing adjudication within service expectations, industry best practices, and client requirements.

ESSENTIAL RESPONSIBILITIES MAY INCLUDE:

• Analyzing and processing claims through action plans to resolution by investigating and gathering information.
• Negotiating settlements within authority limits.
• Communicating claim activity with claimants and clients.
• Reporting claims to excess carriers and responding to requests promptly and professionally.

QUALIFICATIONS

Education & Licensing: 5 years of claims management experience or equivalent. High School Diploma or GED required; Bachelor's preferred. Professional certifications are a plus.

• SIP licensing required | California jurisdiction knowledge

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional opportunities.
• Comprehensive benefits including medical, dental, vision, 401K from day one.

Compensation range for California residents: $90,000-$110,000/year, plus bonus eligibility. Benefits include medical, dental, vision, 401K, PTO, disability, life insurance, and more.

#claimsexaminer #claims #remote #hybrid #LI-REMOTE #LI-DV1

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, consider applying anyway! We value diversity, equity, and inclusion, recognizing each person's unique skills and experiences. You may be just the right candidate for this or other roles.