Hybrid Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; Cameron Park (CA); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and growth

Job summary

Sedgwick Claims Management Services Ltd seeks a skilled claims examiner to analyze workers' compensation claims for our clients. The role emphasizes benefit determinations, timely adjudication, and strong client communication in a CA-hybrid environment.

Ideal candidate has 5 years’ claims experience, CA license knowledge, and a Bachelor’s degree is preferred. Flexible schedule and professional growth opportunities are offered as part of Sedgwick’s supportive benefits package.

Qualifications

• Education: High School Diploma or GED required; Bachelor's degree preferred.
• Experience: 5 years of claims management experience or equivalent.
• Licensing/Jurisdiction: CA required.

Responsibilities

• Analyze workers' compensation claims to determine benefits and adjudicate within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity to claimants and clients; report to excess carrier when needed.

Skills

Claims management

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick Claims Management Services Ltd seeks a skilled claims examiner to analyze workers' compensation claims for our clients. The role emphasizes benefit determinations, timely adjudication, and strong client communication in a CA-hybrid environment.

Ideal candidate has 5 years’ claims experience, CA license knowledge, and a Bachelor’s degree is preferred. Flexible schedule and professional growth opportunities are offered as part of Sedgwick’s supportive benefits package.