Hybrid Workers' Compensation Claims Examiner

Sedgwick; Roseville (CA); Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Career development

Comprehensive benefits

401K on day one

Job summary

Sedgwick in California is seeking a Workers' Compensation Claims Examiner to analyze complex CA claims for our clients, ensuring timely adjudication and accurate benefits determination. This role supports multiple industries and requires strong analytical skills and exceptional service delivery.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED (Bachelor's preferred), and California-specific workers' comp knowledge.

Qualifications

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

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification

Job description

Sedgwick in California is seeking a Workers' Compensation Claims Examiner to analyze complex CA claims for our clients, ensuring timely adjudication and accurate benefits determination. This role supports multiple industries and requires strong analytical skills and exceptional service delivery.

Ideal candidates have 5 years of claims management experience, a high school diploma or GED (Bachelor's preferred), and California-specific workers' comp knowledge.