Remote Workers' Comp Claims Examiner — Growth & Flex

Sedgwick; Fallbrook (CA); Hybrid; USD 85,000 - 105,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Career development

Medical, dental, vision, 401K on day 1

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation in West Hills, CA. You will analyze workers' compensation claims, adjudicate cases, and determine benefits due while maintaining service levels and collaborating with clients and Sedgwick's global network.

Join a culture that rewards flexibility, professional growth, and diverse benefits, including medical, dental, vision, 401(k) on day one. You will help deliver customer-focused solutions for leading brands.

Qualifications

• 3 years of claims management experience or equivalent combination of education and experience required.
• 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 workers' compensation claims to determine exposure and timely resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to directions in a professional and timely manner.

Skills

Claims management experience

Education

High School Diploma or GED

Bachelor’s degree from an accredited college or university

Professional certification as applicable to line of business

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation in West Hills, CA. You will analyze workers' compensation claims, adjudicate cases, and determine benefits due while maintaining service levels and collaborating with clients and Sedgwick's global network.

Join a culture that rewards flexibility, professional growth, and diverse benefits, including medical, dental, vision, 401(k) on day one. You will help deliver customer-focused solutions for leading brands.