Remote Claims Examiner, Workers' Comp - Hybrid

Sedgwick; Des Moines (IA); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development

Medical, dental, vision, 401K

Job summary

Sedgwick seeks a Claims Examiner - Workers' Compensation with California licensing to join our hybrid team. You will analyze and adjudicate claims, negotiate settlements, and keep clients informed while upholding service expectations.

Requirements include a High School Diploma or GED; a Bachelor's degree is preferred, plus professional certification where applicable. CA licensing is required. Sedgwick offers flexible schedules, a robust benefits package, and growth within a global leader.

Qualifications

• Education & Licensing: 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.
• Experience: 5 years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: CA Required

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

Professional certification

Job description

Sedgwick seeks a Claims Examiner - Workers' Compensation with California licensing to join our hybrid team. You will analyze and adjudicate claims, negotiate settlements, and keep clients informed while upholding service expectations.

Requirements include a High School Diploma or GED; a Bachelor's degree is preferred, plus professional certification where applicable. CA licensing is required. Sedgwick offers flexible schedules, a robust benefits package, and growth within a global leader.