Hybrid Workers' Comp Claims Adjuster

Sedgwick; California (MO); Hybrid; USD 73,000 - 85,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and growth

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Workers' Compensation Claims Adjuster in California. You will analyze mid- to high-level claims to determine benefits due, adjudicate according to standards, and identify subrogation opportunities while negotiating settlements.

The ideal candidate has 4+ years of CA WC claims management experience and jurisdiction knowledge; SIP certification is required within one year of employment. Hybrid/CA location with comprehensive benefits.

Qualifications

• Bachelor's degree preferred in a related field.
• Four years California workers' compensation claims management experience required.
• California jurisdictional knowledge required; SIP certification within one year.

Responsibilities

• Manages workers' compensation claims determining eligibility and benefits on long-term indemnity claims.
• Develops and manages claims action plans, coordinates return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and manages action plans per contract.
• Manages subrogation of claims and negotiates settlements.
• Communicates claim actions with claimants and clients.
• Maintains professional client relationships.

Education

Bachelor's degree from an accredited college or university preferred.

SIP certification required or must be obtained within one year of employment

Job description

Sedgwick is seeking a Workers' Compensation Claims Adjuster in California. You will analyze mid- to high-level claims to determine benefits due, adjudicate according to standards, and identify subrogation opportunities while negotiating settlements.

The ideal candidate has 4+ years of CA WC claims management experience and jurisdiction knowledge; SIP certification is required within one year of employment. Hybrid/CA location with comprehensive benefits.