Workers' Comp Claims Examiner — Hybrid & Growth Opportunity

Sedgwick; Cameron Park (CA); Hybrid; USD 72,000 - 95,000; Full time

Benefits offered by this job

Flexible work schedule

Referral incentive program

Career development and growth

Job summary

Sedgwick is seeking a Claims Examiner for Workers' Compensation with a CA license, hybrid work options, and a strong emphasis on analytical assessment and settlement negotiations. The role focuses on evaluating benefits, ensuring adjudication within service expectations, and maintaining client relationships.

The ideal candidate will have a high school diploma or GED (Bachelor's preferred), CA-licensed with 5 years’ claims management experience, and professional certification if applicable.

Qualifications

• High School Diploma or GED required.
• Bachelor's degree from an accredited college/university preferred.
• Professional certification relevant to line of business is a plus.

Responsibilities

• Analyze workers' compensation claims to determine benefits.
• Investigate and gather information to assess claim exposure.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients.

Skills

Claims analysis

Negotiation

Client communication

Analytical thinking

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification

Tools

CA licensing

Job description

Sedgwick is seeking a Claims Examiner for Workers' Compensation with a CA license, hybrid work options, and a strong emphasis on analytical assessment and settlement negotiations. The role focuses on evaluating benefits, ensuring adjudication within service expectations, and maintaining client relationships.

The ideal candidate will have a high school diploma or GED (Bachelor's preferred), CA-licensed with 5 years’ claims management experience, and professional certification if applicable.