Hybrid Claims Examiner - Workers' Comp (CA) | Flexible Schedule

Sedgwick; Little Rock (AR); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with matching

PTO

Disability and life insurance

Employee assistance program

FSAs/HSAs

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with California licensing requirements. The role is hybrid and involves analyzing claims, negotiating settlements, and communicating with claimants and clients to ensure timely adjudication and accuracy.

Ideal candidates will have 5 years of claims management experience, a high school diploma or GED (Bachelor’s preferred), and relevant certifications. Sedgwick offers comprehensive benefits and a supportive work culture.

Qualifications

• High School Diploma or GED required; bachelor’s degree preferred.
• 5 years of claims management experience or equivalent.
• Licensing knowledge CA required.

Responsibilities

• Analyze Workers' Compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims to excess carriers and respond to directions promptly.

Skills

Analytical skills

Negotiation

Client communication

Collaboration

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification relevant to line of business

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with California licensing requirements. The role is hybrid and involves analyzing claims, negotiating settlements, and communicating with claimants and clients to ensure timely adjudication and accuracy.

Ideal candidates will have 5 years of claims management experience, a high school diploma or GED (Bachelor’s preferred), and relevant certifications. Sedgwick offers comprehensive benefits and a supportive work culture.