Workers Compensation Claims Examiner | Ontario, California

Sedgwick Claims Management Services Ltd; Ontario (CA); Hybrid; USD 80,000 - 98,000; Full time

Benefits offered by this job

Flexible work schedule

Career development

Comprehensive benefits including 401K

Job summary

Sedgwick is hiring a Workers' Compensation Claims Examiner in Ontario, California. The role involves analyzing and adjudicating complex claims to determine benefits due while meeting service expectations and client requirements.

You will work in a dynamic, global company offering growth and flexibility. Primary responsibilities include claim analysis, settlement negotiations within authority, and clear communication with claimants and clients.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience.
• California workers' compensation claims experience required | SIP Preferred
• High School Diploma or GED required. Bachelor's degree preferred.

Responsibilities

• Analyzing and processing claims to determine exposure and appropriate resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity with claimants and clients.
• Reporting claims to the excess carrier and responding to directions promptly.

Skills

Claims experience

Education

High School Diploma or GED

Bachelor's degree

Professional certification

Job description

By 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 Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Ontario, California Are 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.

Office Location

Ontario, California (3 days in-office, 2 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 Responsibilities

• 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

Benefits

• 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.
• 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-$98,000/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.

Diversity & Inclusion

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Qualified 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 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.

About Sedgwick

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

For more, see sedgwick.com