Remote CA Workers' Comp Claims Expert

Sedgwick; San Diego (CA); Hybrid; USD 80,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Comprehensive benefits

Job summary

Sedgwick, a global leader in claims management, seeks a California workers’ compensation claims examiner to analyze complex claims, determine benefits, and guide cases through investigation, settlement, and resolution. The role emphasizes handling high-exposure claims and litigation with a focus on accuracy and service excellence.

Ideal candidates will have California jurisdiction knowledge, 3+ years of experience, and the ability to work in hybrid or remote settings within California.

Qualifications

• Education: Bachelor's degree preferred; professional certification as applicable to line of business preferred.

Responsibilities

• Analyze and process complex California workers' compensation claims; manage claims through investigation, benefit determination, settlement negotiation, and resolution.
• Negotiate settlements within designated authority and manage reserves and payments.
• Handle state filings and litigation processes; coordinate with excess carriers as needed.

Skills

California Workers' Comp

Litigation management

Settlement negotiation

Education

Bachelor's degree

Job description

Sedgwick, a global leader in claims management, seeks a California workers’ compensation claims examiner to analyze complex claims, determine benefits, and guide cases through investigation, settlement, and resolution. The role emphasizes handling high-exposure claims and litigation with a focus on accuracy and service excellence.

Ideal candidates will have California jurisdiction knowledge, 3+ years of experience, and the ability to work in hybrid or remote settings within California.