Hybrid Workers' Comp Claims Examiner — Growth & Flexibility

Sedgwick Claims Management Services Ltd; Los Angeles, Fallbrook (CA, CA); Hybrid; USD 80,000 - 92,000; Full time

Benefits offered by this job

Flexible work schedule

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick is seeking a Claims Examiner – Workers Compensation for a hybrid role in West Hills, CA. You will adjudicate complex claims, determine benefits due, and work with clients across industries to provide top-tier service.

The ideal candidate has 5 years of claims management experience, a High School Diploma or GED, and preferably a Bachelor's degree. Flexible work arrangements and strong benefits support growth and development.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.

Responsibilities

• Analyze Workers’ Compensation claims to determine benefits due.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity with the claimant and client.
• Report claims to the excess carrier and respond to directions promptly.

Education

High School Diploma or GED

Bachelor's degree (preferred)

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Examiner – Workers Compensation for a hybrid role in West Hills, CA. You will adjudicate complex claims, determine benefits due, and work with clients across industries to provide top-tier service.

The ideal candidate has 5 years of claims management experience, a High School Diploma or GED, and preferably a Bachelor's degree. Flexible work arrangements and strong benefits support growth and development.