Hybrid Workers' Comp Claims Examiner

Sedgwick; Raleigh (NC); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick invites you to join a global leader in claims management, focusing on Workers' Compensation claims in a hybrid California environment. You will analyze claims to determine benefits due while adhering to client service standards and best practices.

This role emphasizes timely adjudication, communication with claimants, and collaboration with clients to manage complex cases. The ideal candidate has CA licensing, 5+ years in claims management, and a track record of negotiating settlements.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 5 years of claims management experience or equivalent.
• Licensing/Jurisdiction: CA licensing knowledge required.

Responsibilities

• Analyze workers compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimant and client.
• Report claims to excess carrier and respond to directions.

Skills

Claims management

Analytical thinking

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

MS Office

CRM systems

Job description

Sedgwick invites you to join a global leader in claims management, focusing on Workers' Compensation claims in a hybrid California environment. You will analyze claims to determine benefits due while adhering to client service standards and best practices.

This role emphasizes timely adjudication, communication with claimants, and collaboration with clients to manage complex cases. The ideal candidate has CA licensing, 5+ years in claims management, and a track record of negotiating settlements.