Remote Workers' Comp Claims Examiner (CA)

Sedgwick; Brea (CA); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible schedule

Career development

401K on day one

Medical coverage

Job summary

Sedgwick is hiring a Workers Compensation Claims Examiner to analyze and adjudicate complex claims from a remote CA location. Must reside in California.

Responsibilities include analyzing claims, negotiating settlements, and communicating with claimants and clients while ensuring service standards and regulatory compliance. The role offers professional development and a supportive benefits package.

Qualifications

• 4 years of claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor’s degree preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Analyze workers' compensation claims to determine benefits due and adjudicate within service expectations.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity with the claimant and the client.
• Report claims to the excess carrier and respond to directions professionally and timely.

Skills

Claims management

Negotiation

Communication

California knowledge

Education

High School Diploma or GED

Bachelor’s degree

Professional certification

Job description

Sedgwick is hiring a Workers Compensation Claims Examiner to analyze and adjudicate complex claims from a remote CA location. Must reside in California.

Responsibilities include analyzing claims, negotiating settlements, and communicating with claimants and clients while ensuring service standards and regulatory compliance. The role offers professional development and a supportive benefits package.