Workers Compensation Claims Examiner - CA | On-Site or Remote

Sedgwick Claims Management Services Ltd; Sacramento, Northern (CA, KY); Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

Flexible schedule

Referral incentive program

Comprehensive benefits (medical, dent,

401(k) and more

Job summary

Sedgwick is hiring a Workers' Compensation Claims Examiner for CA, with on-site or remote options. You will adjudicate complex CA WC claims, determine benefits due, and interact with clients and claimants to maintain service standards.

Ideal candidates have 3+ years of claims management experience and strong CA WC knowledge, with SIP certification within a year. Flexible work options and comprehensive benefits are provided.

Qualifications

• 3 years claims management experience or equivalent combination of education and experience.
• High School Diploma or GED required; Bachelor's degree preferred.
• California workers' compensation knowledge required; SIP certification within 1 year of employment.

Responsibilities

• Analyze workers' compensation claims to determine benefits and adjudicate within service expectations.
• Negotiate settlements within designated authority.
• Communicate claim activity with claimants and clients in a timely manner.
• Report claims to excess carrier and respond to directions professionally.

Skills

California workers' compensation knowl

3+ years claims management experience

SIP knowledge or timeline

Education

High School Diploma or GED

Bachelor's degree preferred

Job description

## Workers Compensation Claims Examiner - CA | On-Site or RemoteApply: Riverside, CA: Sacramento, CA: Roseville, CA: Ontario, CA: Telecommuter CA: Full time: Posted Yesterday: R78146By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top CompaniesCertified as a Great Place to WorkFortune Best Workplaces in Financial Services & InsuranceWorkers Compensation Claims Examiner - CA | On-Site or RemoteAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? · Apply your knowledge and experience to adjudicate complex workers compensation claims in the context of an energetic culture. · Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. · Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. · Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. · Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. · Enjoy flexibility and autonomy in your daily work, your location, and your career path. · Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?**Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‐managed intake environment.**OFFICE LOCATIONS:****RIVERSIDE, CA****ONTARIO, CA****ROSEVILLE, CA****REMOTE OPTIONS MAY BE AVAILABLE****PRIMARY PURPOSE OF THE ROLE:**To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**· 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. **QUALIFICATIONS**Education & Licensing: 3 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.**Licensing / Jurisdiction Knowledge:**3 or more yearsCalifornia workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment**TAKING CARE OF YOU**Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. Diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.**WORK ENVIRONMENT REQUIREMENTS** **INCLUDE** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines**Physical:** Computer keyboarding**Auditory/Visual:** Hearing, vision and talkingAs required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $85-95K. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.#LI-REMOTE #LI-HYBRIDQualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.