Hybrid Workers' Comp Claims Examiner — Impact & Growth

Sedgwick; Jefferson City (MO); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Benefits: medical, dental, vision, 401

Job summary

Sedgwick, a global leader in risk and claims administration, is hiring a Claims Examiner for Workers’ Compensation in a hybrid CA setting. You will analyze claims, determine benefits due, and ensure adjudication aligns with client expectations and industry practices.

The role requires 5 years of claims management experience, a high school diploma (bachelor’s preferred), CA licensing, and strong communication.

Qualifications

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

Responsibilities

• Analyze and process workers’ compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.
• Report claims and respond to directions professionally and timely.

Skills

Claims management

Analytical thinking

Communication skills

CA licensing

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification preferred

Job description

Sedgwick, a global leader in risk and claims administration, is hiring a Claims Examiner for Workers’ Compensation in a hybrid CA setting. You will analyze claims, determine benefits due, and ensure adjudication aligns with client expectations and industry practices.

The role requires 5 years of claims management experience, a high school diploma (bachelor’s preferred), CA licensing, and strong communication.