Remote CA Workers' Compensation Claims Examiner

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

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development opportunities

Medical, dental, vision benefits

401K on day one

Job summary

Sedgwick, a global leader in risk, claims, and wellness solutions, is seeking a California-focused Workers’ Compensation Claims Examiner. You will analyze complex claims, including high-exposure and litigated matters, to determine benefits and settlements.

You’ll manage investigations, determinations, and timely resolutions with a focus on accuracy and client service. The role supports California jurisdiction requirements, with remote or hybrid work options and a comprehensive benefits package.

Qualifications

• Three (3) years of California workers’ compensation claims management experience.
• Licensing/Jurisdiction knowledge: California; SIP certification within one year of hire.

Responsibilities

• Analyze complex or technically difficult California workers’ compensation claims to determine benefits.
• Manage claims through investigation, benefit determination, and settlements.
• Negotiate settlements within designated authority; ensure timely payments and reserve adequacy.

Skills

California WC claims management

Litigation handling

Settlement negotiations

Reserves management

Education

Bachelor’s degree

SIP certification

Job description

Sedgwick, a global leader in risk, claims, and wellness solutions, is seeking a California-focused Workers’ Compensation Claims Examiner. You will analyze complex claims, including high-exposure and litigated matters, to determine benefits and settlements.

You’ll manage investigations, determinations, and timely resolutions with a focus on accuracy and client service. The role supports California jurisdiction requirements, with remote or hybrid work options and a comprehensive benefits package.