Workers Compensation Claims Examiner | Long Beach, CA or Roseville, CA

Sedgwick Claims Management Services Ltd; Long Beach (CA); Hybrid; USD 80,000 - 100,000; Full time

Benefits offered by this job

Flexible work schedule

Comprehensive benefits package

Career development opportunities

Job summary

Sedgwick Claims Management Services Ltd is seeking a Workers Compensation Claims Examiner in Long Beach or Roseville, CA. The role involves analyzing and processing claims, negotiating settlements, and ensuring compliance with service expectations.

The ideal candidate has at least 5 years of claims management experience and a high school diploma or GED, with a bachelor's degree preferred. The position offers a hybrid work environment and various professional development opportunities.

Qualifications

• 5 years of claims management experience or equivalent.
• California workers' compensation claims experience required.
• Professional certification as applicable to the line of business preferred.

Responsibilities

• Analyze and process claims through developed action plans.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity to the claimant and client.

Skills

Claims management experience

Negotiation skills

Analytical skills

Education

High School Diploma or GED

Bachelor's degree from an accredited college

Job description

## Workers Compensation Claims Examiner | Long Beach, CA or Roseville, CAApplylocations: Roseville, CAtime type: Full timeposted on: Posted Yesterdayjob requisition id: R75024By 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 | Long Beach, CA or Roseville, CAAre 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 customer 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?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.**OFFICE LOCATIONS:** Long Beach or Roseville, California (2 days in-office, 3 days remote)**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: 5 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: California workers' compensation claims experience required | SIP Preferred****TAKING CARE OF YOU*** Flexible work schedule.* Referral incentive program.* Career development and promotional growth opportunities.* A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.**WORK ENVIRONMENT** 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, travel as required**Auditory/Visual:** Hearing, vision and talking*As 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 $80,000-$100,000/yr. 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.*#claimsexaminer #claims #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.## If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.