Hybrid Workers' Comp Claims Examiner — Growth & Impact

Sedgwick Claims Management Services Ltd; Roseville (CA); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Comprehensive benefits

Job summary

Sedgwick Claims Management Services Ltd in Roseville, CA seeks a qualified Workers' Compensation Claims Examiner to adjudicate complex claims, determine benefits due, and manage high-exposure cases.

This hybrid role requires California jurisdiction knowledge and SIP licensing or the ability to obtain within one year; you will work with a broad client base and support ongoing risk management initiatives.

Qualifications

• Education & Licensing: Bachelor’s degree preferred; professional certification as applicable.
• Experience: Five (5) years of claims management experience or equivalent.
• Licensing / Jurisdiction Knowledge: California knowledge required; SIP certification or ability to obtain within one year.

Responsibilities

• Analyzes and adjudicates complex workers' compensation claims to determine benefits.
• Negotiates settlements within designated authority.
• Manages reserves and payments; ensures timely claim handling and proper documentation.
• Supports litigation management and coordination with vendors as needed.
• Ensures compliance with state filings and client service requirements.

Education

Bachelor's degree

Job description

Sedgwick Claims Management Services Ltd in Roseville, CA seeks a qualified Workers' Compensation Claims Examiner to adjudicate complex claims, determine benefits due, and manage high-exposure cases.

This hybrid role requires California jurisdiction knowledge and SIP licensing or the ability to obtain within one year; you will work with a broad client base and support ongoing risk management initiatives.