Senior Workers' Compensation Claims Specialist (Flexible)

Sedgwick Claims Management Services Ltd; California; Hybrid; USD 73,000 - 85,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with matching

PTO

Disability insurance

Life insurance

Employee assistance

Job summary

Sedgwick Claims Management Services Ltd is hiring for a California Workers’ Compensation Claims Adjuster in a hybrid role. You will analyze mid- and high-level workers’ compensation claims, determine benefits due, and guide adjudication to ensure timely settlements.

Expect opportunities for professional growth and a broad benefits package. The ideal candidate has CA WC claims experience, a California license or SIP eligibility within a year, and a bachelor's degree.

Qualifications

• California jurisdictional knowledge required.
• Four (4) years of California Workers Compensation claims management experience or equivalent.
• SIP licensing knowledge or ability to obtain within one year of employment.

Responsibilities

• Analyze mid- and higher-level workers' compensation claims to determine benefits due and adjudicate within company standards.
• Develop action plans for claims resolution, coordinate return-to-work efforts, and approve payments.
• Manage subrogation of claims and negotiate settlements.
• Communicate claim actions with claimants and clients; ensure proper documentation and correct claims coding.

Skills

Claims management

Analytical thinking

Communication

Problem solving

Education

Bachelor's degree

Job description

Sedgwick Claims Management Services Ltd is hiring for a California Workers’ Compensation Claims Adjuster in a hybrid role. You will analyze mid- and high-level workers’ compensation claims, determine benefits due, and guide adjudication to ensure timely settlements.

Expect opportunities for professional growth and a broad benefits package. The ideal candidate has CA WC claims experience, a California license or SIP eligibility within a year, and a bachelor's degree.