Remote Workers' Comp Claims Examiner I (CA)

Sedgwick; Sacramento (CA); Remote; USD 63,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Agile work environment

Career development and growth

Job summary

Sedgwick in the United States is seeking a California-based Claims Examiner for Workers' Compensation with remote capability. You will analyze and adjudicate complex claims, determine benefits, and collaborate with clients across industries to deliver responsive service.

The ideal candidate has California licensing and 5 years of claims experience, with a high school diploma or GED; a Bachelor's degree or professional certification is preferred.

Qualifications

• 5 years of claims management experience or equivalent
• High School Diploma or GED required; Bachelor's degree preferred
• Professional certification as applicable to line of business preferred

Responsibilities

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

Skills

Claims handling

Negotiation

Client communication

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick in the United States is seeking a California-based Claims Examiner for Workers' Compensation with remote capability. You will analyze and adjudicate complex claims, determine benefits, and collaborate with clients across industries to deliver responsive service.

The ideal candidate has California licensing and 5 years of claims experience, with a high school diploma or GED; a Bachelor's degree or professional certification is preferred.