Hybrid Claims Examiner - Workers’ Compensation

Sedgwick; Montgomery (AL); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick is hiring a Claims Examiner - Workers Compensation in a hybrid California setting. The role analyzes workers’ compensation claims for clients, determines benefits due, and adjudicates claims within service expectations and client requirements.

Ideal candidates have 5 years of claims management experience, a CA license knowledge, and a BA/BS degree preferred. Sedgwick emphasizes flexible work, strong benefits, and opportunities for career development within a global leader.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Licensing/Jurisdiction knowledge: CA required.

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

Job description

Sedgwick is hiring a Claims Examiner - Workers Compensation in a hybrid California setting. The role analyzes workers’ compensation claims for clients, determines benefits due, and adjudicates claims within service expectations and client requirements.

Ideal candidates have 5 years of claims management experience, a CA license knowledge, and a BA/BS degree preferred. Sedgwick emphasizes flexible work, strong benefits, and opportunities for career development within a global leader.