Hybrid CA Workers’ Comp Claims Examiner

Sedgwick; California; Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development and growth

Comprehensive benefits including 401(k

Job summary

Sedgwick is seeking a Workers' Compensation Claims Examiner in Riverside, CA to adjudicate complex California workers' compensation claims and deliver client-focused solutions in a hybrid work environment.

You will analyze claims, determine benefits, and collaborate with clients and claimants to ensure timely resolutions while adhering to client service requirements and industry best practices.

Qualifications

• 3 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

California WC knowledge

Licensing

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification preferred

Job description

Sedgwick is seeking a Workers' Compensation Claims Examiner in Riverside, CA to adjudicate complex California workers' compensation claims and deliver client-focused solutions in a hybrid work environment.

You will analyze claims, determine benefits, and collaborate with clients and claimants to ensure timely resolutions while adhering to client service requirements and industry best practices.