Experienced Workers' Compensation Claims Examiner - Remote/CA

Sedgwick; California; Hybrid; USD 95,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development and growth

Comprehensive benefits: medical,Dental

Job summary

Sedgwick in California is seeking a Workers' Compensation Claims Examiner to analyze and adjudicate complex workers' compensation claims for a diverse set of clients, with on-site or remote options.

The role emphasizes efficient service, professional development, and a flexible schedule, with opportunities to collaborate across Sedgwick's global network and advance within a well‑managed intake environment.

Qualifications

• 3 years of claims management experience or equivalent combination of education and experience.
• State licensing as applicable, SIP preferred or obtainable within 1 year.

Responsibilities

• Analyze and process California workers’ compensation claims to determine exposure and benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to the excess carrier and respond to directions professionally.

Skills

Claims management

California WC knowledge

SIP licensing

Education

High School Diploma

Bachelor's degree preferred

Job description

Sedgwick in California is seeking a Workers' Compensation Claims Examiner to analyze and adjudicate complex workers' compensation claims for a diverse set of clients, with on-site or remote options.

The role emphasizes efficient service, professional development, and a flexible schedule, with opportunities to collaborate across Sedgwick's global network and advance within a well‑managed intake environment.