Hybrid Workers' Compensation Claims Adjuster

Sedgwick Claims Management Services

Ontario (CA)

Hybrid

USD 70,000 - 85,000

Full time

14 days+

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Benefits offered by this job

Flexible work schedule
Referral incentive program
Career development and promotional成长
Medical, dental, vision, 401k on day 1

Job summary

Sedgwick Claims Management Services seeks a Workers' Compensation Claims Adjuster in Ontario, California, offering a hybrid work arrangement (2 days in-office, 3 days remote). You will analyze and adjudicate workers' compensation claims, negotiate settlements, and communicate with claimants and clients to ensure timely resolutions.

Ideal candidates have 4+ years in claims management, a high school diploma or GED (Bachelor's preferred), and California WC experience.

Qualifications

  • 4 years of claims management experience or equivalent combination of education and experience required.
  • 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.
  • California workers' compensation claims handling experience | SIP certified 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
Communication

Education

High School Diploma or GED
Bachelor's degree (preferred)
Professional certification (as applicable)

Job description

Sedgwick Claims Management Services seeks a Workers' Compensation Claims Adjuster in Ontario, California, offering a hybrid work arrangement (2 days in-office, 3 days remote). You will analyze and adjudicate workers' compensation claims, negotiate settlements, and communicate with claimants and clients to ensure timely resolutions.

Ideal candidates have 4+ years in claims management, a high school diploma or GED (Bachelor's preferred), and California WC experience.

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