Remote Claims Examiner – Workers’ Compensation

Sedgwick; USA; Hybrid; USD 95.000 - 105.000; Vollzeit

Benefits dieser Stelle

Flexible work schedule

Referral incentive program

Career development and promo growth

Comprehensive benefits

Zusammenfassung

Sedgwick is hiring a Claims Examiner in California (Ontario or Riverside) with strong California workers' compensation knowledge. You will analyze complex workers’ compensation claims, adjudicate benefits, and deliver client-focused solutions within a dynamic global company.

The role offers a flexible work arrangement with remote options and opportunities for professional development. Competitive benefits are provided, including medical, dental, vision, and 401(k).

Qualifikationen

• 3 years of claims management experience or equivalent required.
• High School Diploma or GED required; Bachelor’s degree preferred.
• Professional certification as applicable to line of business preferred.
• 3+ years California workers’ compensation jurisdictional knowledge required; SIP or obtain within 1 year of employment.

Aufgaben

• Analyze and process claims to determine exposure and provide timely resolution.
• Negotiate settlement within designated authority.
• Communicate claim activity with the claimant and client.
• Report claims to the excess carrier and respond to directions professionally and promptly.

Kenntnisse

Claims adjudication

Negotiation

Analytical thinking

Client communication

Ausbildung

High School Diploma or GED

Bachelor’s degree preferred

Professional certification where applicable

California workers' compensation knowledge licensing

Jobbeschreibung

Sedgwick is hiring a Claims Examiner in California (Ontario or Riverside) with strong California workers' compensation knowledge. You will analyze complex workers’ compensation claims, adjudicate benefits, and deliver client-focused solutions within a dynamic global company.

The role offers a flexible work arrangement with remote options and opportunities for professional development. Competitive benefits are provided, including medical, dental, vision, and 401(k).