Hybrid Workers' Comp Claims Examiner — Impact & Growth

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

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional成长

Job summary

Sedgwick is seeking a dedicated Workers' Compensation Claims Examiner for a hybrid role in Orange, CA. You will analyze claims, determine benefits, and ensure adjudication meets client service requirements.

Applicants should have California workers' compensation experience and a high school diploma or GED (Bachelor's preferred). Sedgwick offers flexible scheduling, development opportunities, and a comprehensive benefits package. Requisition #: R75395.

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: California workers' compensation claims experience required | SIP Preferred

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Skills

Claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a dedicated Workers' Compensation Claims Examiner for a hybrid role in Orange, CA. You will analyze claims, determine benefits, and ensure adjudication meets client service requirements.

Applicants should have California workers' compensation experience and a high school diploma or GED (Bachelor's preferred). Sedgwick offers flexible scheduling, development opportunities, and a comprehensive benefits package. Requisition #: R75395.