Hybrid Workers’ Comp Claims Examiner – West Hills

Sedgwick; Los Angeles (CA); Hybrid; USD 80,000 - 92,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits package

Job summary

Sedgwick in West Hills, CA is seeking a Claims Examiner to adjudicate complex workers' compensation claims and determine benefits due while aligning with service expectations and client requirements.

The role offers a hybrid work model (3 days remote), opportunities for professional development, and a comprehensive benefits package to support your mental, physical and financial well-being.

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.
• Professional certification as applicable to line of business 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 handling

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick in West Hills, CA is seeking a Claims Examiner to adjudicate complex workers' compensation claims and determine benefits due while aligning with service expectations and client requirements.

The role offers a hybrid work model (3 days remote), opportunities for professional development, and a comprehensive benefits package to support your mental, physical and financial well-being.