Claims Representative IAP - Workers Comp Training Program (On-Site Concord, CA)

Sedgwick Claims Management Services Ltd; Concord (CA); On-site; USD 31,000 - 45,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k and matching

PTO

Disability and life insurance

Employee assistance

Flexible spending or health savings

Job summary

Sedgwick Claims Management Services Ltd. is hiring for an entry-level training program in Concord, CA. You will be oriented and trained as a new industry professional with a 4-week learning and onboarding phase, followed by on-the-job work under a mentor and manager to build foundational claims adjusting skills.

You’ll grow through an onboarding experience and dedicated guidance as you start a career in claims, with opportunities for advancement in a supportive, training-centered environment.

Qualifications

• Education: High School Diploma or GED; Bachelor's degree preferred and 2 years of customer service experience.
• Training program to learn claims adjusting and onboarding.
• Strong communication and empathy required for interaction with employees and customers.

Responsibilities

• Attend and complete the designated claims training program.
• Adjust workers’ compensation claims under supervision, handling mail, emails and documents.
• Communicate with injured workers, insureds/employers, providers, attorneys and carriers via phone, video, and email.
• Investigate new and existing claims gathering medical records, employer reports and witness statements.
• Check employer/employee relationships, coverage, and potential subrogation or fraud indicators.
• Determine coverage, compensability and benefits per guidelines and programs.
• Document files and code claim activity accurately.
• Prepare detailed findings and recommendations in reports.
• Administer indemnity and medical benefits with calendar tasks for compliance.
• Participate in meetings and claim reviews for training and discussions.

Skills

Strong Communicators

Empathetic

Multi-Taskers

Accountable

Structured Thinkers

Ambitious

Agile Learners

Team Collaborators

Education

High School Diploma or GED

Bachelor's degree preferred

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 Representative IAP - Workers Comp Training Program (On-Site Concord, CA)

Are you looking for an impactful job that offers an opportunity to develop a professional career? A stable and consistent work environment in an office setting. A training program to learn how to investigate and resolve complex situations for employees and customers from some of the world’s most reputable brands. Career development and promotional growth opportunities through increasing responsibilities. A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs including medical, dental, vision & 401k.

PRIMARY PURPOSE OF THE ROLE:

To be oriented and trained as a new industry professional. This role begins with a comprehensive 4-week concept-based learning and professional training program, followed by a dedicated onboarding experience before entering the on-the-job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry.

Next Class Date: 10/12/26 at 1320 Willow Pass Road Concord, CA 94520

ARE YOU AN IDEAL CANDIDATE?

• Strong Communicators
• Empathetic
• Multi-Taskers
• Accountable
• Structured Thinkers
• Ambitious
• Agile Learners
• Team Collaborators

ESSENTIAL RESPONSIBLITIES INCLUDE

• Attendance and completion of designated claims professional training program.
• Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
• Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephonic, video conference and email.
• Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements.
• Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators.
• Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements.
• Documenting claims files and properly coding claim activity.
• Preparing detailed reports documenting findings and recommendations.
• Administering claim benefits i.e., indemnity and medical benefits, through maintenance of calendared claim-related action items, ensuring state compliance.
• Participating in virtual and/or in-person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings.

QUALIFICATIONS

Education Requirement – High School Diploma or GED. Bachelor's degree preferred and 2 years of customer service experience and/or combination of education and experience.

WORK ENVIRONMENT REQUIREMENTS INCLUDE

• When 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 deadlines.
• Physical: Computer keyboarding
• Auditory/Visual: Hearing, vision and talking

As 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 $27.69.

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.

• medical
• dental
• vision
• 401k and matching
• PTO
• disability and life insurance
• employee assistance
• flexible spending or health savings account
• other additional voluntary benefits

Qualified 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.

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

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected.

The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.

With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

For more, see sedgwick.com