Workers' Comp Claims Specialist

Sedgwick; Phoenix (AZ); Sur place; USD 85 000 - 105 000; Plein temps

Avantages offerts par ce poste

Medical

Dental

Vision

401k matching

PTO

Disability and life insurance

Employee assistance

Flexible spending or health savings

Other voluntary benefits

Résumé du poste

Sedgwick is seeking a Claims Examiner – Workers' Compensation to analyze claims for our clients, determine benefits due, and adjudicate within service expectations. You will investigate information, assess exposure, and communicate progress with claimants and clients.

Required: 3+ years of claims management experience, a High School Diploma or GED (Bachelor's preferred), and California WC knowledge (SIP or obtain within 1 year).

Qualifications

• 3 years of claims management experience or equivalent.
• High School Diploma or GED; Bachelor's degree preferred.
• Professional certification applicable to line of business preferred.
• California workers' compensation knowledge required; SIP license or must be obtained within one year of employment.

Responsabilités

• 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.

Connaissances

Claims management

Analytical skills

Negotiation

Formation

High School Diploma or GED

Bachelor's degree preferred

Outils

SIP certification

Description du poste

Sedgwick is seeking a Claims Examiner – Workers' Compensation to analyze claims for our clients, determine benefits due, and adjudicate within service expectations. You will investigate information, assess exposure, and communicate progress with claimants and clients.

Required: 3+ years of claims management experience, a High School Diploma or GED (Bachelor's preferred), and California WC knowledge (SIP or obtain within 1 year).