Hybrid Workers' Compensation Claims Examiner

Sedgwick Claims Management Services Ltd; Riverside (CA, IA); Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Health benefits

Job summary

Sedgwick in Riverside, CA seeks a seasoned Workers' Compensation Claims Examiner to analyze and adjudicate complex claims for diverse clients, ensuring timely benefits and compliance with state regulations.

This hybrid role offers a competitive starting pay of $85,000 to $105,000 per year, comprehensive benefits from day one, flexible scheduling, referral incentives, and clear paths for career development within a global leader.

Qualifications

• 3 years of claims management experience or equivalent combination of education and experience.
• 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.

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 experience

California WC knowledge

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick in Riverside, CA seeks a seasoned Workers' Compensation Claims Examiner to analyze and adjudicate complex claims for diverse clients, ensuring timely benefits and compliance with state regulations.

This hybrid role offers a competitive starting pay of $85,000 to $105,000 per year, comprehensive benefits from day one, flexible scheduling, referral incentives, and clear paths for career development within a global leader.