Experienced Workers' Comp Claims Examiner - Remote

Sedgwick; San Francisco (CA); Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits

Job summary

Sedgwick is hiring a Workers' Compensation Claims Examiner in Long Beach or Roseville, CA. Analyze workers' compensation claims to determine benefits, with in-office and remote work flexibility.

Role emphasizes adjudication, client service, and collaboration within Sedgwick's global network. Candidates should have California workers' compensation experience, 5 years in claims management, and relevant education or certifications.

Qualifications

• Education & Licensing: 5 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.
• Professional certification as applicable to line of business preferred.

Responsibilities

• 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.

Skills

Claims management

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring a Workers' Compensation Claims Examiner in Long Beach or Roseville, CA. Analyze workers' compensation claims to determine benefits, with in-office and remote work flexibility.

Role emphasizes adjudication, client service, and collaboration within Sedgwick's global network. Candidates should have California workers' compensation experience, 5 years in claims management, and relevant education or certifications.