Hybrid California Workers' Comp Claims Examiner

Sedgwick Claims Management Services; Concord (CA); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development and promotional机会

Comprehensive benefits including 401k,

Job summary

Sedgwick Claims Management Services in Concord, CA is seeking a seasoned claims professional to analyze complex California workers' compensation claims and determine benefits. You will handle litigated, high-exposure claims, negotiate settlements, and manage subrogation while ensuring service standards for clients.

The role offers hybrid work arrangements, collaboration with a national team, and opportunities for professional development as you advance your career within a global leader in

Qualifications

• California workers' compensation claims experience is required.
• Experience handling litigated and high-exposure claims is preferred.
• California jurisdictional knowledge required; SIP certification within one year if not already held.

Responsibilities

• Analyze complex California workers' compensation claims to determine benefits.
• Negotiate settlements within designated authority levels.
• Calculate reserves; approve timely payments and adjust as needed.
• Manage litigation processes to ensure timely, cost-effective resolution.
• Prepare necessary state filings within statutory limits.
• Coordinate with carriers and clients on claim directions and settlements.

Skills

WC claims exp

Litigation handling

Settlement negotiation

Analytical thinking

Education

Bachelor's degree

CA jurisdiction knowledge

Job description

Sedgwick Claims Management Services in Concord, CA is seeking a seasoned claims professional to analyze complex California workers' compensation claims and determine benefits. You will handle litigated, high-exposure claims, negotiate settlements, and manage subrogation while ensuring service standards for clients.

The role offers hybrid work arrangements, collaboration with a national team, and opportunities for professional development as you advance your career within a global leader in