Remote CA Workers' Comp Claims Examiner - Impact & Growth

Sedgwick; Brea (CA); Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and growth

Comprehensive benefits (medical,Dental

401K on day one

Job summary

Sedgwick seeks a seasoned Workers' Compensation Claims Examiner in California to analyze complex claims, determine benefits, and adjudicate within client requirements. This role leverages Sedgwick's global network and emphasizes accurate, timely decisions.

You will work remotely from California with flexible scheduling, competitive compensation, and comprehensive benefits designed to support work-life balance and professional growth.

Qualifications

• 4 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

• Analyze and process workers' compensation claims to determine exposure and settlement within timelines.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier and respond to directions promptly.

Skills

Claims management experience

Analytical thinking

Negotiation

Education

High School Diploma or GED

Bachelor's degree (preferred)

Job description

Sedgwick seeks a seasoned Workers' Compensation Claims Examiner in California to analyze complex claims, determine benefits, and adjudicate within client requirements. This role leverages Sedgwick's global network and emphasizes accurate, timely decisions.

You will work remotely from California with flexible scheduling, competitive compensation, and comprehensive benefits designed to support work-life balance and professional growth.