Senior Workers' Comp Claims Examiner — Remote & Growth

Sedgwick; Oregon; Hybrid; USD 95,000 - 105,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and promotional;成长

Diverse and comprehensive benefits (m‑

Job summary

Sedgwick is seeking a California-based Workers' Compensation Examiner to analyze claims for clients with a focus on timely and accurate adjudication. The role emphasizes client service, collaboration across teams, and adherence to client service requirements.

Qualified candidates have at least 3 years in claims management, a high school diploma (bachelor's preferred), and may need SIP licensing within a year. Remote options are available, with Ontario, CA or Riverside, CA as office locations.

Qualifications

• 3 years of claims management experience or equivalent combination of education and experience required.
• 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.
• Licensing / Jurisdiction Knowledge: 3 or more years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment.

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

Claims management

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Job description

Sedgwick is seeking a California-based Workers' Compensation Examiner to analyze claims for clients with a focus on timely and accurate adjudication. The role emphasizes client service, collaboration across teams, and adherence to client service requirements.

Qualified candidates have at least 3 years in claims management, a high school diploma (bachelor's preferred), and may need SIP licensing within a year. Remote options are available, with Ontario, CA or Riverside, CA as office locations.