Hybrid Workers' Comp Claims Examiner

Sedgwick; Los Angeles (CA); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Benefits package

Job summary

Sedgwick in Los Angeles, CA is seeking a Claims Examiner for Workers' Compensation in a hybrid role. The position focuses on analyzing claims to determine benefits, negotiating settlements within authority, and maintaining clear communication with claimants and clients.

CA licensure is required, with a strong emphasis on accuracy and timely adjudication. Ideal candidates will have a high school diploma or GED plus a bachelor's degree preferred, and at least five years of claims management

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.

Job description

Sedgwick in Los Angeles, CA is seeking a Claims Examiner for Workers' Compensation in a hybrid role. The position focuses on analyzing claims to determine benefits, negotiating settlements within authority, and maintaining clear communication with claimants and clients.

CA licensure is required, with a strong emphasis on accuracy and timely adjudication. Ideal candidates will have a high school diploma or GED plus a bachelor's degree preferred, and at least five years of claims management