Remote Workers' Comp Claims Examiner (CA)

Sedgwick Claims Management Services Ltd; Cameron Park, Northern (CA, KY); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401k

PTO

Life insurance

Employee assistance

Flexible spending account

Job summary

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner for Workers’ Compensation in California with remote work options. The role focuses on analyzing claims, determining benefits, and maintaining adjudication standards per client requirements.

The ideal candidate has 5+ years of claims management experience, CA licensing knowledge, and a bachelor’s degree is preferred. Sedgwick offers comprehensive benefits and a supportive work environment.

Qualifications

• Education & Licensing: High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Years of claims management experience or equivalent combination of education and experience required.
• Licensing / Jurisdiction Knowledge: CA Required.

Responsibilities

• Analyze Workers' Compensation claims to determine benefits due and adjudicate within service expectations and client requirements.
• Ensure ongoing adjudication aligned with industry best practices and client service standards.

Skills

Claims management experience

Analytical thinking

Problem solving

Ability to meet deadlines

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick Claims Management Services Ltd is seeking a Claims Examiner for Workers’ Compensation in California with remote work options. The role focuses on analyzing claims, determining benefits, and maintaining adjudication standards per client requirements.

The ideal candidate has 5+ years of claims management experience, CA licensing knowledge, and a bachelor’s degree is preferred. Sedgwick offers comprehensive benefits and a supportive work environment.