Flexible-Location Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; California; On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a California-based Workers’ Compensation Examiner to analyze claims and determine benefits while adhering to client service standards. You will adjudicate complex claims with a focus on accuracy and timely resolution.

In West Hills, CA, the role offers flexible work options within a well‑structured intake environment, competitive compensation, and comprehensive benefits designed to support your professional growth and work‑life balance.

Qualifications

• 3+ years claims management experience.
• California workers' compensation knowledge.
• Bachelor's degree 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

California knowledge

Education

HS Diploma

Bachelor's degree

Job description

Sedgwick is seeking a California-based Workers’ Compensation Examiner to analyze claims and determine benefits while adhering to client service standards. You will adjudicate complex claims with a focus on accuracy and timely resolution.

In West Hills, CA, the role offers flexible work options within a well‑structured intake environment, competitive compensation, and comprehensive benefits designed to support your professional growth and work‑life balance.