Remote Workers' Comp Claims Adjuster

Sedgwick Claims Management Services Ltd; California; Hybrid; USD 73,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Job summary

Sedgwick Claims Management Services Ltd in California is seeking a Claims Adjuster to analyze mid- to high-level workers' compensation claims, determine benefits, and ensure adjudication within company standards. This role involves collaborating with clients, managing subrogation, and negotiating settlements as needed.

The position requires three years of California workers' compensation claims management experience and California jurisdiction knowledge.

Qualifications

• Bachelor's degree preferred.
• Three (3) years of California Workers' Compensation claims management experience required.
• California jurisdiction knowledge required; SIP required or must be obtained within one year of employment.

Responsibilities

• Analyze mid- and higher-level workers' compensation claims to determine benefits due.
• Manage claims, monitor reserves, and file necessary documents with state agencies.
• Negotiate settlements and manage subrogation when applicable.
• Communicate claim actions with claimants and clients.
• Maintain proper documentation and coding of claims.

Skills

CA workers' comp knowledge

Education

Bachelor's degree

Job description

Sedgwick Claims Management Services Ltd in California is seeking a Claims Adjuster to analyze mid- to high-level workers' compensation claims, determine benefits, and ensure adjudication within company standards. This role involves collaborating with clients, managing subrogation, and negotiating settlements as needed.

The position requires three years of California workers' compensation claims management experience and California jurisdiction knowledge.