Remote CA Workers' Comp Claims Examiner I

Sedgwick; Austin (TX); Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile environment

Career development

Comprehensive benefits (medical,Dental

Vision; 401K; PTO

Job summary

Sedgwick, a global risk and claims management leader, is seeking a Claims Examiner for Workers' Compensation in California. This remote role offers flexibility and a path for career growth within a supportive culture.

You will analyze California workers' comp claims, adjudicate benefits, negotiate settlements within authority, and communicate with claimants and clients. The position requires 5 years of claims management experience, a HS diploma (Bachelor's preferred), and professional

Qualifications

• 5 years of claims management experience or 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 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

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick, a global risk and claims management leader, is seeking a Claims Examiner for Workers' Compensation in California. This remote role offers flexibility and a path for career growth within a supportive culture.

You will analyze California workers' comp claims, adjudicate benefits, negotiate settlements within authority, and communicate with claimants and clients. The position requires 5 years of claims management experience, a HS diploma (Bachelor's preferred), and professional