Hybrid Workers' Comp Claims Examiner

Sedgwick; Indianapolis (IN); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Comprehensive benefits

Job summary

Sedgwick is seeking a Claims Examiner - Workers’ Compensation for a hybrid CA role. You will analyze and adjudicate claims to determine benefits due, coordinating with claimants, clients, and carriers to ensure timely resolutions.

Requires CA licensing and about 5 years in claims management; a Bachelor’s degree is preferred. Sedgwick offers a comprehensive benefits package, professional growth, and a flexible, inclusive work environment.

Qualifications

• Education & Licensing: 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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• 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

5 years of claims management

Empathy and customer service

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification as applicable to line of business preferred

Job description

Sedgwick is seeking a Claims Examiner - Workers’ Compensation for a hybrid CA role. You will analyze and adjudicate claims to determine benefits due, coordinating with claimants, clients, and carriers to ensure timely resolutions.

Requires CA licensing and about 5 years in claims management; a Bachelor’s degree is preferred. Sedgwick offers a comprehensive benefits package, professional growth, and a flexible, inclusive work environment.