Hybrid Workers' Comp Claims Adjuster - CA

Sedgwick Claims Management Services Ltd; Roseville (CA); Hybrid; USD 65,000 - 74,000; Full time

Benefits offered by this job

Medical, dental, vision

401k and matching

PTO

Disability and life insurance

Employee assistance

Job summary

Sedgwick is seeking a Claims Examiner to analyze Workers' Compensation claims for clients, determine benefits due, and ensure timely adjudication in line with service standards.

Hybrid role in California with 2 days in office and 3 days remote, requiring CA licensing knowledge and 4 years of claims management experience. Sedgwick emphasizes a caring culture, strong benefits, and opportunities for growth across a global network.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• 4 years of claims management experience or equivalent.
• CA licensing/jurisdiction knowledge required.

Responsibilities

• Analyze and process 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 thinking

Claims processing

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner to analyze Workers' Compensation claims for clients, determine benefits due, and ensure timely adjudication in line with service standards.

Hybrid role in California with 2 days in office and 3 days remote, requiring CA licensing knowledge and 4 years of claims management experience. Sedgwick emphasizes a caring culture, strong benefits, and opportunities for growth across a global network.