Remote Workers' Comp Claims Examiner (CA)

Visa Hunt; Brea (CA); Hybrid; CAD 111,000 - 139,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Comprehensive benefits

Job summary

Sedgwick is seeking a seasoned Workers Compensation Claims Examiner to analyze claims for benefits due, adjudicate within service expectations, and deliver client-focused solutions.

This remote opportunity is available to California residents, offering flexible scheduling, comprehensive benefits, and opportunities for professional growth within a broad network of clients and carriers.

Qualifications

• 4 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.

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.

Skills

Claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification relevant to line of business preferred

Job description

Sedgwick is seeking a seasoned Workers Compensation Claims Examiner to analyze claims for benefits due, adjudicate within service expectations, and deliver client-focused solutions.

This remote opportunity is available to California residents, offering flexible scheduling, comprehensive benefits, and opportunities for professional growth within a broad network of clients and carriers.