Hybrid Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; Ontario (CA); Hybrid; USD 80,000 - 98,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

Comprehensive benefits including 401K

Job summary

Sedgwick is hiring a Workers' Compensation Claims Examiner in Ontario, California. The role involves analyzing and adjudicating complex claims to determine benefits due while meeting service expectations and client requirements.

You will work in a dynamic, global company offering growth and flexibility. Primary responsibilities include claim analysis, settlement negotiations within authority, and clear communication with claimants and clients.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• California workers' compensation claims experience required | SIP Preferred
• High School Diploma or GED required. Bachelor's degree preferred.

Responsibilities

• Analyzing and processing claims to determine exposure and appropriate resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Claims experience

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick is hiring a Workers' Compensation Claims Examiner in Ontario, California. The role involves analyzing and adjudicating complex claims to determine benefits due while meeting service expectations and client requirements.

You will work in a dynamic, global company offering growth and flexibility. Primary responsibilities include claim analysis, settlement negotiations within authority, and clear communication with claimants and clients.