Remote Workers' Comp Claims Examiner

Sedgwick; United States; Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentives

Career development

Comprehensive benefits

Job summary

Sedgwick in Brea, CA is seeking a seasoned Workers' Compensation Examiner to analyze claims and determine benefits for our clients. You will adjudicate complex cases in a fast-paced, client-focused environment and work within established service expectations and best practices.

We value strong partnerships, a steady caseload, and opportunities for professional growth. Flexible work options and comprehensive benefits are available to support your work‑life balance.

Qualifications

• 3 years of claims management experience or equivalent.
• High School Diploma or GED required.
• Bachelor's degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze and process workers' compensation claims to determine exposure and resolution.
• Negotiate settlements within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier and respond to directions in a professional and timely manner.

Skills

Negotiation

Communication

Analytical skills

Education

High School diploma

Bachelor's degree preferred

Professional certification

Job description

Sedgwick in Brea, CA is seeking a seasoned Workers' Compensation Examiner to analyze claims and determine benefits for our clients. You will adjudicate complex cases in a fast-paced, client-focused environment and work within established service expectations and best practices.

We value strong partnerships, a steady caseload, and opportunities for professional growth. Flexible work options and comprehensive benefits are available to support your work‑life balance.