Claims Representative IAP - Workers Comp Training Program (On-Site West Hills, CA)

About the Role

Join Sedgwick and be part of something meaningful. As a Claims Representative in the IAP - Workers Comp Training Program, you will begin with a comprehensive 4-week concept-based learning and professional training program, followed by dedicated onboarding before entering the on-the-job phase. This role offers a stable, office-based environment with career development and promotional growth opportunities.

Next class date: 10/12/26 at 8521 Fallbrook Ave Suite 250, West Hills, CA 91304.

Responsibilities

• Attend and complete the designated claims professional training program.
• Adjust various levels of workers’ compensation claims under close supervision, including:
  • Processing and responding to incoming mail, emails, and other claim-related documents.
  • Communicating effectively with injured workers, insureds/employers, medical providers, attorneys, and carrier representatives via phone, video conference, and email.
  • Thoroughly investigating new and existing claims by gathering medical records, employer reports, and witness statements.
  • Investigating employer/employee relationships, policy verification, coverage, and potential subrogation or fraud indicators.
  • Determining coverage, compensability, and appropriate benefits in accordance with jurisdictional guidelines and carrier requirements.
  • Documenting claims files, coding claim activity, and preparing detailed reports.
  • Administering claim benefits (indemnity and medical) while maintaining calendared action items for state compliance.
• Participate in virtual and/or in-person meetings, claim reviews, and business functions for training and claim discussions.

Requirements

• High School Diploma or GED (Bachelor’s degree preferred).
• 2 years of customer service experience and/or a combination of education and experience.

Skills

We are seeking enthusiastic and service-oriented individuals who are:

• Strong communicators
• Empathetic
• Skilled at multi-tasking
• Accountable
• Structured thinkers
• Ambitious
• Agile learners
• Team collaborators

Work Environment

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem-solving, and analytical skills; ability to handle work-related stress and multiple priorities; ability to meet deadlines.
• Physical: Computer keyboarding.
• Auditory/Visual: Hearing, vision, and talking.

When applicable and appropriate, consideration will be given to reasonable accommodations.

Pay

The starting pay for this role in the noted jurisdiction is $27.69 per hour.

Benefits

A comprehensive benefits package is offered, including:

• Medical, dental, and vision insurance
• 401k with company matching
• Paid time off (PTO)
• Disability and life insurance
• Employee assistance program
• Flexible spending or health savings account
• Additional voluntary benefits