Hybrid Claims Examiner - Workers' Comp | Flexible & Growth

Sedgwick; Riverside (OH); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and growth

Comprehensive benefits (medical,Dental

Vision, 401K on day one

Job summary

Sedgwick in Riverside, CA is hiring a Workers’ Compensation Claims Examiner to adjudicate complex claims and determine benefits within service expectations. This hybrid role combines in-office and remote work, with access to Sedgwick’s global network and development opportunities.

You will deliver timely resolutions, communicate with claimants and clients, and leverage the company’s resources to drive excellent service.

Qualifications

• 5 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

Education

High School Diploma or GED

Bachelor’s degree preferred

Job description

Sedgwick in Riverside, CA is hiring a Workers’ Compensation Claims Examiner to adjudicate complex claims and determine benefits within service expectations. This hybrid role combines in-office and remote work, with access to Sedgwick’s global network and development opportunities.

You will deliver timely resolutions, communicate with claimants and clients, and leverage the company’s resources to drive excellent service.