Claims Examiner - Workers Compensation | Licensing & Jurisdiction: CA - Hybrid

About the role

Sedgwick is seeking a Claims Examiner for Workers Compensation with California jurisdiction knowledge to join their team in a hybrid work arrangement. This role involves analyzing Workers Compensation claims on behalf of clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

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: 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
• Experience: 5 years of claims management experience or equivalent combination of education and experience required
• Licensing / Jurisdiction Knowledge: CA required

Work location

Hybrid – 2 days in office, 3 days work from home at all California and Oregon Sedgwick offices.

Pay

Range of starting pay: $72,000 – $88,000

Benefits

• Flexible work schedule
• Referral incentive program
• Career development and promotional growth opportunities
• Comprehensive benefits offering including medical, dental, vision, 401K on day one
• PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits