Remote Workers' Comp Claims Examiner

Sedgwick; Sacramento (CA); Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Career development

Benefits package

Job summary

Sedgwick in California is seeking a Workers' Compensation Claims Examiner for Long Beach or Roseville. You will analyze workers' compensation claims for clients, determine benefits due, and ensure adjudication within service expectations and best practices.

Join a global leader known for care, development opportunities, and flexible scheduling in a hybrid work model with strong benefits. You will leverage Sedgwick's network to learn and contribute.

Qualifications

• Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required.
• 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.
• Licensing / Jurisdiction Knowledge: California workers' compensation claims experience required | SIP Preferred

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

Bachelor's degree in a related field

Job description

Sedgwick in California is seeking a Workers' Compensation Claims Examiner for Long Beach or Roseville. You will analyze workers' compensation claims for clients, determine benefits due, and ensure adjudication within service expectations and best practices.

Join a global leader known for care, development opportunities, and flexible scheduling in a hybrid work model with strong benefits. You will leverage Sedgwick's network to learn and contribute.