Innovative Workers Comp Claims Examiner (Hybrid)

Sedgwick; Ontario (CA); Hybrid; USD 80,000 - 98,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional 성장

Comprehensive benefits: medical,Dental

401K on day one

Job summary

Sedgwick seeks a driven Workers’ Compensation Claims Examiner in Ontario, California to adjudicate complex claims for a global client base. You will evaluate exposure, determine benefits due, and ensure adherence to service expectations and client requirements.

The role offers a flexible schedule, strong development opportunities, and a comprehensive benefits package. You will join a values-driven team with a focus on empathy, accountability, collaboration, growth, and inclusion, and you will

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

• Analyses and processes 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.

Education

5 years of claims management experience

High School Diploma or GED

Bachelor’s degree (preferred)

Professional certification as applicable to line of business (preferred)

Job description

Sedgwick seeks a driven Workers’ Compensation Claims Examiner in Ontario, California to adjudicate complex claims for a global client base. You will evaluate exposure, determine benefits due, and ensure adherence to service expectations and client requirements.

The role offers a flexible schedule, strong development opportunities, and a comprehensive benefits package. You will join a values-driven team with a focus on empathy, accountability, collaboration, growth, and inclusion, and you will