Hybrid CA Workers' Compensation Claims Examiner

Sedgwick; Riverside (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 package

Job summary

Sedgwick is seeking a Midlands California Workers’ Compensation Claims Examiner to analyze and adjudicate claims for a diverse client base, ensuring timely resolutions within service expectations and client requirements.

The Riverside, CA hybrid role emphasizes strong jurisdictional knowledge, excessive collaboration with clients, and delivering expert claims management with a focus on quality outcomes across industries.

Qualifications

• Education & Licensing: 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 resolution by investigating and gathering information to determine 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 directions in a professional and timely manner.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is seeking a Midlands California Workers’ Compensation Claims Examiner to analyze and adjudicate claims for a diverse client base, ensuring timely resolutions within service expectations and client requirements.

The Riverside, CA hybrid role emphasizes strong jurisdictional knowledge, excessive collaboration with clients, and delivering expert claims management with a focus on quality outcomes across industries.