Hybrid Workers' Comp Claims Specialist

Sedgwick; Roseville (CA); Hybrid; USD 65,000 - 80,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with matching

Paid time off

Job summary

Sedgwick is seeking a mid- to senior-level Workers' Compensation Claims Adjuster in a HYBRID environment. You will analyze claims to determine benefits, manage action plans, and coordinate return-to-work efforts while ensuring accurate documentation and settlements in line with client contracts.

Ideal candidates have CA workers' compensation experience and at least three years in claims management, with strong negotiation and communication skills.

Qualifications

• Bachelor's degree preferred.
• Three years of claims management experience required.
• California workers' compensation claims experience required.

Responsibilities

• Analyze mid- to high-level workers' compensation claims to determine benefits.
• Develop and manage action plans, coordinate return-to-work efforts, and approve payments.
• Manage subrogation and negotiate settlements; communicate with claimants and clients.
• Ensure proper documentation and correct claims coding; handle complex medical claims when needed.

Skills

Claims management

Negotiation

Communication

Analytical thinking

Education

Bachelor's degree

Job description

Sedgwick is seeking a mid- to senior-level Workers' Compensation Claims Adjuster in a HYBRID environment. You will analyze claims to determine benefits, manage action plans, and coordinate return-to-work efforts while ensuring accurate documentation and settlements in line with client contracts.

Ideal candidates have CA workers' compensation experience and at least three years in claims management, with strong negotiation and communication skills.