Senior Workers' Comp Claims Specialist

Sedgwick; Ontario (CA); Sur place; USD 36 000 - 51 000; Plein temps

Avantages offerts par ce poste

Flexible schedule

Referral program

Career development

Comprehensive benefits

Agile environment

Résumé du poste

Sedgwick in Ontario, CA is seeking a driven Claims Representative to analyze complex workers compensation claims, adjudicate benefits, and coordinate litigation with a collaborative team. The role emphasizes growth, accountability, and meticulous claims handling.

You will operate on-site at our Ontario office, leverage a broad vendor network, and participate in ongoing development while supporting senior staff and clients across industries.

Qualifications

• 5 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.

Responsabilités

• Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Manages the litigation process; ensures timely and cost-effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Leads team meetings and assigns accountability for follow-up items.
• Gathers important compliance/claims processing information to be presented at team meetings.
• Assists in interviews of adjusters, clerical staff and provides feedback to hiring manager.
• Provides limited assistance/support to team lead with monthly review of adjuster workloads; notes trends and suggests adjustments when necessary. May include up to (3) three direct reports.

Connaissances

Claims management

Leadership

Communication

Formation

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Description du poste

Sedgwick in Ontario, CA is seeking a driven Claims Representative to analyze complex workers compensation claims, adjudicate benefits, and coordinate litigation with a collaborative team. The role emphasizes growth, accountability, and meticulous claims handling.

You will operate on-site at our Ontario office, leverage a broad vendor network, and participate in ongoing development while supporting senior staff and clients across industries.