Remote Workers' Comp Claims Examiner

Sedgwick; Riverside (CA); Hybrid; USD 95,000 - 105,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development opportunities

Comprehensive benefits: medical, dent​

Vision, 401K

Job summary

Sedgwick is seeking a Claims Examiner in Riverside, CA or Ontario, CA with remote options. The role analyzes workers' compensation claims, adjudicates benefits, and supports clients across industries. Ideal candidates have 3+ years in claims management with California WC knowledge and may have relevant certifications.

The position offers flexible work schedules, development paths, and a comprehensive benefits package. Join a global leader known for service and career growth.

Qualifications

• 3 years of claims management experience or equivalent combination of education and experience.
• 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.
• 3+ years California workers' compensation jurisdictional knowledge required, SIP required or must be obtained within one year of employment

Responsibilities

• Analyzing and processing claims through action plans to timely resolution by investigating and gathering information.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions professionally and timely.

Skills

California workers' compensation knowl

Negotiation

Communication with claimant

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a Claims Examiner in Riverside, CA or Ontario, CA with remote options. The role analyzes workers' compensation claims, adjudicates benefits, and supports clients across industries. Ideal candidates have 3+ years in claims management with California WC knowledge and may have relevant certifications.

The position offers flexible work schedules, development paths, and a comprehensive benefits package. Join a global leader known for service and career growth.