Hybrid Workers’ Comp Claims Examiner

Sedgwick; Roseville (CA); Hybrid; USD 80,000 - 85,000; Full time

Benefits offered by this job

Great Place to Work®

Most Loved Workplace®

Forbes Best-in-State Employer

Job summary

Sedgwick is seeking a Claims Examiner - Workers’ Comp in hybrid Roseville, CA. You will analyze complex claims, determine benefits, manage reserves, and coordinate settlements while supporting litigation and recovery efforts.

Requirements include a bachelor’s degree and five years’ claims management experience, with professional certification preferred. This role emphasizes accuracy, collaboration, and client service within a leading risk and claims organization.

Qualifications

• Bachelor's degree preferred or equivalent work experience.
• Five years of claims management experience or equivalent.
• Professional certification relevant to line of business preferred.

Responsibilities

• Analyze complex workers' compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Calculate reserves and manage claim payments and adjustments.
• Coordinate litigation and cost containment strategies.
• Ensure documentation, timely filings, and client communication.
• Support subrogation efforts and recovery processes.

Skills

Claims management

Negotiation

Analytical skills

Communication

Microsoft Office

Team player

Problem solving

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Sedgwick is seeking a Claims Examiner - Workers’ Comp in hybrid Roseville, CA. You will analyze complex claims, determine benefits, manage reserves, and coordinate settlements while supporting litigation and recovery efforts.

Requirements include a bachelor’s degree and five years’ claims management experience, with professional certification preferred. This role emphasizes accuracy, collaboration, and client service within a leading risk and claims organization.