Workers' Comp Claims Specialist – On-Site Ontario, CA

Sedgwick Claims Management Services Ltd; Ontario (CA); Hybrid; USD 37,000 - 38,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401K on Day One

PTO

Job summary

Sedgwick Claims Management Services Ltd in Ontario, CA seeks a Claims Representative- Workers Compensation to adjudicate low‑level workers’ compensation claims and determine benefits with guidance from supervision. You’ll support return‑to‑work plans, document thoroughly, and process payments for assigned claims while upholding company standards.

Ideal candidates have a bachelor’s degree (preferred) and at least 2 years of claims management experience or related training.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required.

Responsibilities

• Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract.

Skills

Claims processing

Workers' comp knowledge

Customer service

Education

Bachelor's degree

Job description

Sedgwick Claims Management Services Ltd in Ontario, CA seeks a Claims Representative- Workers Compensation to adjudicate low‑level workers’ compensation claims and determine benefits with guidance from supervision. You’ll support return‑to‑work plans, document thoroughly, and process payments for assigned claims while upholding company standards.

Ideal candidates have a bachelor’s degree (preferred) and at least 2 years of claims management experience or related training.