Remote Workers' Comp Claims Examiner

Sedgwick; Lincoln (NE); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Job summary

Sedgwick is seeking a Claims Examiner - Workers' Compensation in California with hybrid work options. You will analyze claims, determine benefits due, and adjudicate in line with client requirements, industry best practices, and Sedgwick standards.

The ideal candidate has a high school diploma or GED (Bachelor's preferred), CA licensing, and at least 5 years of claims management experience. You will negotiate settlements, communicate with claimants and clients, and collaborate with a broad

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.

Responsibilities

• Analyzing and processing workers' compensation claims to determine exposure and resolve within service expectations.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and client.
• Reporting claims to the excess carrier and responding to directions in a timely manner.

Skills

Analytical thinking

Negotiation

Communication skills

Problem solving

Education

High School Diploma or GED

Bachelor’s degree preferred

Professional certification (as applicable)

Job description

Sedgwick is seeking a Claims Examiner - Workers' Compensation in California with hybrid work options. You will analyze claims, determine benefits due, and adjudicate in line with client requirements, industry best practices, and Sedgwick standards.

The ideal candidate has a high school diploma or GED (Bachelor's preferred), CA licensing, and at least 5 years of claims management experience. You will negotiate settlements, communicate with claimants and clients, and collaborate with a broad