Remote Workers’ Comp Claims Examiner (Hybrid)

Sedgwick; Boise (ID); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive

Career development

Comprehensive benefits

Job summary

Sedgwick in California is seeking a Claims Examiner - Workers’ Compensation to analyze claims, determine benefits, and ensure adjudication aligns with client service requirements. You’ll negotiate settlements within authority and communicate progress to claimants and clients.

Ideal candidates have CA licensing knowledge, 5 years of claims management experience, and a bachelor’s degree. This hybrid role includes a strong benefits package and opportunities for career growth.

Qualifications

• Education & Licensing: High School Diploma or GED required; Bachelor's degree preferred; professional certification as applicable.
• Experience: 5 years of claims management experience or equivalent combination of education and experience.
• Licensing/Jurisdiction Knowledge: CA Required

Responsibilities

• Analyzing and processing claims to determine exposure and resolve outcomes.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Claims management

Negotiation

Communication

Education

High School Diploma or GED

Bachelor's degree

Job description

Sedgwick in California is seeking a Claims Examiner - Workers’ Compensation to analyze claims, determine benefits, and ensure adjudication aligns with client service requirements. You’ll negotiate settlements within authority and communicate progress to claimants and clients.

Ideal candidates have CA licensing knowledge, 5 years of claims management experience, and a bachelor’s degree. This hybrid role includes a strong benefits package and opportunities for career growth.