Hybrid CA Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; Brea (CA); Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Comprehensive benefits

Job summary

Sedgwick Claims Management Services Ltd. in Brea, CA, is seeking a Workers' Compensation Claims Examiner for a hybrid role.

You will analyze complex workers' compensation claims, determine benefits due, and adjudicate claims to meet client service requirements with a strong focus on accuracy and timeliness. The ideal candidate has 3+ years of claims management experience, a high school diploma or GED, and a preference for a bachelor’s degree.

Qualifications

• 3 years of claims management experience or equivalent combination of education and experience.
• 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.
• 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 Claims Management Services Ltd. in Brea, CA, is seeking a Workers' Compensation Claims Examiner for a hybrid role.

You will analyze complex workers' compensation claims, determine benefits due, and adjudicate claims to meet client service requirements with a strong focus on accuracy and timeliness. The ideal candidate has 3+ years of claims management experience, a high school diploma or GED, and a preference for a bachelor’s degree.