Remote Workers' Comp Claims Examiner I (CA)

Sedgwick; Honolulu (HI); Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401K on day one

Paid time off (PTO)

Job summary

Sedgwick is seeking a remote Claims Examiner for California workers' compensation claims. This full-time role emphasizes adjudication, negotiation, and client communication within a flexible, remote culture.

The ideal candidate will analyze claims, determine benefits, and leverage Sedgwick's network for resolution and service excellence. Competitive benefits and ongoing development opportunities support your career growth.

Qualifications

• California workers' compensation claims experience required.
• High school diploma or GED required; bachelor's degree preferred.
• Professional certification as applicable to line of business is a plus.

Responsibilities

• Analyze California workers' compensation claims to determine benefits.
• Negotiate settlements within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to excess carrier and respond to directions promptly.

Skills

California WC claims

Adjudication skills

Negotiation

Client communications

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a remote Claims Examiner for California workers' compensation claims. This full-time role emphasizes adjudication, negotiation, and client communication within a flexible, remote culture.

The ideal candidate will analyze claims, determine benefits, and leverage Sedgwick's network for resolution and service excellence. Competitive benefits and ongoing development opportunities support your career growth.