Remote CA Workers' Comp Claims Examiner

Sedgwick Claims Management Services Ltd; Irvine (CA); Hybrid; USD 80,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Comprehensive benefits on day one

Job summary

Sedgwick Claims Management Services Ltd is seeking a Remote Workers Compensation Claims Examiner for the CA jurisdiction. Open to candidates located in the U.S. with California workers' compensation claims experience.

SIP certification preferred or required depending on client assignment and state of residence. The ideal candidate handles litigated and high-exposure claims, negotiates settlements, and supports adjudication within client service expectations.

Qualifications

• Three years of California workers' compensation claims management experience.
• Bachelor’s degree preferred; SIP certification preferred or obtainable within one year.
• Knowledge of California jurisdiction and claims handling best practices.

Responsibilities

• Analyzes and processes complex California workers' compensation claims to determine benefits.
• Negotiates settlements and manages claims through established authority.
• Calculates reserves and ensures timely claim payments.
• Prepares state filings within statutory limits.
• Manages the litigation process and coordinates with carriers.

Skills

California WC claims experience

Litigation handling

Settlement negotiation

Education

Bachelor's degree

Job description

Sedgwick Claims Management Services Ltd is seeking a Remote Workers Compensation Claims Examiner for the CA jurisdiction. Open to candidates located in the U.S. with California workers' compensation claims experience.

SIP certification preferred or required depending on client assignment and state of residence. The ideal candidate handles litigated and high-exposure claims, negotiates settlements, and supports adjudication within client service expectations.