Hybrid Workers' Comp Claims Examiner

Sedgwick; Santa Fe (NM); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career growth opportunities

Comprehensive benefits package

Job summary

Sedgwick is hiring a Claims Examiner - Workers Compensation in California with a hybrid work setup. You will analyze claims to determine benefits due, while ensuring timely adjudication and compliance with client requirements.

The ideal candidate has 5+ years of claims management experience, CA licensing, and a strong focus on accuracy, service, and collaboration in a dynamic environment.

Qualifications

• High School Diploma or GED required; bachelor’s degree preferred.
• 5 years of claims management experience or equivalent.
• CA licensing/jurisdiction knowledge required.

Responsibilities

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

Skills

Claims management

Negotiation

Communication

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is hiring a Claims Examiner - Workers Compensation in California with a hybrid work setup. You will analyze claims to determine benefits due, while ensuring timely adjudication and compliance with client requirements.

The ideal candidate has 5+ years of claims management experience, CA licensing, and a strong focus on accuracy, service, and collaboration in a dynamic environment.