Hybrid Workers' Compensation Claims Examiner

Sedgwick; San Francisco (CA); Hybrid; USD 70,000 - 82,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick is seeking a skilled Claims Examiner - Workers Compensation in California with a strong focus on adjudication and client service. The role emphasizes analyzing claims, determining benefits, and maintaining regulatory compliance in a hybrid work environment.

Qualified candidates will have a high school diploma or GED, a preference for a Bachelor's degree, and CA licensing knowledge. The position offers growth opportunities, a comprehensive benefits package, and referral incentives.

Qualifications

• Education & Licensing: 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

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

Sedgwick is seeking a skilled Claims Examiner - Workers Compensation in California with a strong focus on adjudication and client service. The role emphasizes analyzing claims, determining benefits, and maintaining regulatory compliance in a hybrid work environment.

Qualified candidates will have a high school diploma or GED, a preference for a Bachelor's degree, and CA licensing knowledge. The position offers growth opportunities, a comprehensive benefits package, and referral incentives.