Hybrid Workers’ Compensation Claims Examiner

Sedgwick; Phoenix (AZ); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career development

Benefits package

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation in a hybrid CA role. The position analyzes claims to determine benefits due, while ensuring adjudication aligns with client requirements and industry best practices.

Ideal candidates have 5 years of claims management experience, a CA license, and a Bachelor's degree preferred. Sedgwick offers flexible schedules and a comprehensive benefits package for a balanced career.

Qualifications

• High School Diploma or GED required; Bachelor's degree preferred; Professional certification as applicable to line of business.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing/Jurisdiction Knowledge: CA required.

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

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation in a hybrid CA role. The position analyzes claims to determine benefits due, while ensuring adjudication aligns with client requirements and industry best practices.

Ideal candidates have 5 years of claims management experience, a CA license, and a Bachelor's degree preferred. Sedgwick offers flexible schedules and a comprehensive benefits package for a balanced career.