Remote CA Workers’ Comp Claims Examiner | Complex Claims

Sedgwick; United States; Remote; USD 80,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career development

Health, dental, 401k on day one

Job summary

Sedgwick, a global leader in claims management, seeks a Remote Workers' Compensation Claims Examiner with California experience to join our team. You will analyze complex California WC claims, navigate litigation, and determine benefits.

The role emphasizes high-exposure claims, timely adjudication, and collaboration with clients. A SIP certification is preferred or required within a year, and we offer flexible schedules and comprehensive benefits.

Qualifications

• Education and licensing as specified: Bachelor's degree and relevant professional certifications.
• Three years of California workers' compensation claims management experience or equivalent.
• SIP certification preferred or must be obtained within one year of hire.

Responsibilities

• Analyze complex California workers' compensation claims to determine benefits.
• Work with high exposure claims involving litigation and rehabilitation.
• Manage claims through investigation, benefit determination, settlement negotiation, and resolution.

Skills

Claims management

Litigation handling

California WC knowledge

Education

Bachelor's degree in a related field

Job description

Sedgwick, a global leader in claims management, seeks a Remote Workers' Compensation Claims Examiner with California experience to join our team. You will analyze complex California WC claims, navigate litigation, and determine benefits.

The role emphasizes high-exposure claims, timely adjudication, and collaboration with clients. A SIP certification is preferred or required within a year, and we offer flexible schedules and comprehensive benefits.