Hybrid Workers' Compensation Claims Examiner

Sedgwick; Juneau (AK); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Medical, dental, vision

401K on day one

Flexible work schedule

Referral incentive program

Career development

Disability and life insurance

Job summary

Sedgwick, a global leader in risk and claims management, seeks a Claims Examiner for Workers' Compensation on a hybrid basis in California. You will evaluate claims for benefits due, adhere to service expectations, and work with clients to ensure accurate adjudication.

The ideal candidate has 5 years of claims management experience, a CA license knowledge, and a commitment to exceptional client service. Sedgwick offers comprehensive benefits and a flexible work schedule.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred.
• Professional certification relevant to line of business preferred.
• 5 years of claims management experience or equivalent.

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

Negotiation

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick, a global leader in risk and claims management, seeks a Claims Examiner for Workers' Compensation on a hybrid basis in California. You will evaluate claims for benefits due, adhere to service expectations, and work with clients to ensure accurate adjudication.

The ideal candidate has 5 years of claims management experience, a CA license knowledge, and a commitment to exceptional client service. Sedgwick offers comprehensive benefits and a flexible work schedule.