Remote Workers' Comp Claims Examiner – Hybrid

Sedgwick; Bismarck (ND); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional增长

Medical, dental vision, 401K and more

Job summary

Sedgwick in CA is seeking a Claims Examiner - Workers' Compensation to analyze claims for our valued clients and determine benefits due while maintaining service expectations.

The ideal candidate has 5 years of claims management experience, a High School Diploma or GED (Bachelor's degree preferred), and CA licensing knowledge. We offer a hybrid work model, competitive pay, benefits, and opportunities for career growth.

Qualifications

• 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.
• 5 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.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity with the claimant and client.
• Report claims to the excess carrier and respond to directions promptly.

Skills

Claims management experience

Education

High School Diploma or GED

Bachelor's degree preferred

CA licensing knowledge

Job description

Sedgwick in CA is seeking a Claims Examiner - Workers' Compensation to analyze claims for our valued clients and determine benefits due while maintaining service expectations.

The ideal candidate has 5 years of claims management experience, a High School Diploma or GED (Bachelor's degree preferred), and CA licensing knowledge. We offer a hybrid work model, competitive pay, benefits, and opportunities for career growth.