Remote CA Claims Examiner - Workers' Compensation

Visa Hunt; United States; Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Agile environment

Career development opportunities

Comprehensive benefits (medical,Dental

Job summary

Sedgwick is seeking driven individuals to analyze California workers' compensation claims and determine benefits due while upholding service expectations and client requirements. Join a global leader known for care, growth, and flexible work options.

Ideal candidates will have 5 years of claims management experience, with licensing knowledge in California and a background in adjudicating complex claims. The role offers remote work and comprehensive benefits to support your professional

Qualifications

• 5 years of claims management experience or an 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 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

Negotiation

Communication

Education

High School Diploma or GED

Bachelor’s degree preferred

Tools

California licensing knowledge

Job description

Sedgwick is seeking driven individuals to analyze California workers' compensation claims and determine benefits due while upholding service expectations and client requirements. Join a global leader known for care, growth, and flexible work options.

Ideal candidates will have 5 years of claims management experience, with licensing knowledge in California and a background in adjudicating complex claims. The role offers remote work and comprehensive benefits to support your professional