Remote Workers' Comp Claims Examiner | Flexible Schedule

Sedgwick; Cameron Park (CA); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Benefits package

Job summary

Sedgwick, a global leader in risk and claims management, seeks a Claims Examiner for Workers' Compensation with a CA focus. The role analyzes claims, determines benefits due, and ensures adjudication within service expectations for diverse client needs.

Ideal candidates have 4+ years of claims management experience, a high school diploma or GED (bachelor's preferred), and are prepared for a remote/work-from-home setup within the California jurisdiction.

Qualifications

• Education & Licensing: 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.

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

Sedgwick, a global leader in risk and claims management, seeks a Claims Examiner for Workers' Compensation with a CA focus. The role analyzes claims, determines benefits due, and ensures adjudication within service expectations for diverse client needs.

Ideal candidates have 4+ years of claims management experience, a high school diploma or GED (bachelor's preferred), and are prepared for a remote/work-from-home setup within the California jurisdiction.