Senior Workers' Comp Claims Examiner - Flexible Schedule

Sedgwick; Sacramento (CA); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Career development opportunities

Diverse and comprehensive benefits (m

Job summary

Sedgwick is seeking a seasoned California Workers' Compensation Examiner to analyze complex claims and determine benefits due within a fast-paced intake environment. The role emphasizes adjudication aligned with client service expectations and industry best practices, leveraging Sedgwick's global network for professional growth.

Responsibilities include examining and processing claims, negotiating settlements within authority, and maintaining clear communication with claimants and clients.

Qualifications

• 3 years of claims management experience or equivalent education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• Strong analytical, judgment, and communication skills; good computer keyboarding.

Responsibilities

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Skills

Judgment

Troubleshooting

Problem solving

Analysis

Discretion

Keyboarding

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

Sedgwick is seeking a seasoned California Workers' Compensation Examiner to analyze complex claims and determine benefits due within a fast-paced intake environment. The role emphasizes adjudication aligned with client service expectations and industry best practices, leveraging Sedgwick's global network for professional growth.

Responsibilities include examining and processing claims, negotiating settlements within authority, and maintaining clear communication with claimants and clients.