Hybrid Workers’ Comp Claims Examiner

Sedgwick Claims Management Services; Los Angeles (CA); Hybrid; USD 80,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick Claims Management Services is seeking a Claims Examiner for Workers' Compensation in West Hills, CA. This hybrid role involves analyzing claims, determining benefits due, and ensuring timely adjudication according to client requirements and industry best practices.

Ideal candidates have 5+ years in claims management, California WC knowledge, and a relevant education background. The position offers flexible work, career development, and a comprehensive benefits package.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• 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.
• California workers compensation jurisdictional knowledge required.

Responsibilities

• Analyze Workers Compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to excess carrier and respond to directions professionally and timely.

Skills

Claims management experience

Analytical thinking

Effective communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification applicable to line of business

Job description

Sedgwick Claims Management Services is seeking a Claims Examiner for Workers' Compensation in West Hills, CA. This hybrid role involves analyzing claims, determining benefits due, and ensuring timely adjudication according to client requirements and industry best practices.

Ideal candidates have 5+ years in claims management, California WC knowledge, and a relevant education background. The position offers flexible work, career development, and a comprehensive benefits package.