Jobs · Finance · California

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

Sedgwick · Riverside, CA · 1 mo ago
HybridFinance$85/hrFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Remove boilerplate like EEO, legal, etc. Must preserve all substantive info. We need to parse the posting. Key parts: - Intro paragraph: "By joining Sedgwick, you'll be part of something truly meaningful..." etc. That's about the role/company. Could be "About the role" or maybe "About Sedgwick". We'll use "About the role". Use

. - Then bullet list of responsibilities: "Essential Responsiblities May Include" list: Analyzing and processing claims..., Negotiating settlement..., Communicating claim activity..., Reporting claims to excess carrier... Also earlier bullet points: "Deliver innovative customer-facing solutions...", "Be a part of a rapidly growing...", "Leverage Sedgwick’s broad...", "Take advantage of a variety of professional development opportunities...", "Enjoy flexibility and autonomy...", "Access diverse and comprehensive benefits..." Those seem like benefits or responsibilities? Actually they are more like selling points. Could be part of "About the role" or "Responsibilities". But we need to separate responsibilities list. The explicit responsibilities list is after "Essential Responsiblities May Include". We'll treat that as Responsibilities. - 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 years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment". Also earlier "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." That's also qualifications. Also "OFFICE LOCATIONS: RIVERSIDE, CA ONTARIO, CA ROSEVILLE, CA REMOTE OPTIONS MAY BE AVAILABLE". That's location info; could be part of "About the role" or maybe separate "Location". But we only have allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. No Location heading. Could fold location into About the role paragraph. - Benefits: "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." Also later: "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." Also earlier "Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs." So we have benefits content. - Pay: "For the jurisdiction noted in this job posting only, the range of starting pay for this role is $85-95K." Also earlier "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." So we have pay range. - Schedule: "Flexible work schedule." Also earlier "Enjoy flexibility and autonomy in your daily work, your location, and your career path." Also "TAKING CARE OF YOU Flexible work schedule." So schedule content exists. - Skills: Not explicitly listed; maybe we can infer from responsibilities: analyzing claims, negotiating settlement, communicating, reporting. Could be a Skills section but we should only include if posting has real specific content for it. There's no explicit "Skills" heading. Could we create a Skills section from the qualifications? Might be considered qualifications. Better to not create Skills if not explicit. - Requirements: Could be similar to Qualifications. The posting has "Qualifications" heading. We could treat that as Qualifications section. Requirements maybe not needed. But we need to decide which sections to include: About the role, Responsibilities, Qualifications, Benefits, Pay, Schedule. Possibly also Requirements if we have distinct content like "3 years of claims management experience..." but that's qualifications. We'll combine into Qualifications. We must not include headings with filler like "commensurate with experience". We have specific content. We must not include boilerplate like EEO, legal, Fair Chance, etc. Remove those paragraphs. We must not include duplicated lines. We must preserve all substantive information. Let's extract substantive content: Intro paragraph: "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" That's about company. Could be About the role. Then: "Workers Compensation Claims Examiner - CA | On-Site or Remote 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 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." That's also about role and benefits. Then: "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." Then: "OFFICE LOCATIONS: RIVERSIDE, CA ONTARIO, CA ROSEVILLE, CA REMOTE OPTIONS MAY BE AVAILABLE" Then: "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." Then: "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." Then: "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 years California workers compensation jurisdictional knowledge required, SIP required or must be obtained within one (1) year of employment" Then: "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." Then: "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 talking" Then: "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 $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." Then: "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." This is boilerplate; we can remove. Then: "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 an Equal Opportunity Employer and a Drug-Free Workplace." Remove. Then: "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." This is encouraging but maybe not boilerplate? It's more generic but still substantive? It's encouraging to apply; could be considered fluff but it's not a standard EEO. Might keep? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This paragraph is not exactly EEO but it's encouraging to apply; could be considered application instructions? It's not exactly instructions to apply but motivational. Might be considered fluff but not prohibited. Safer to remove? It's not EEO but it's generic encouragement. I'd remove to be safe. Now we need to structure. Sections:

About the role

Combine intro paragraphs and purpose etc.

We need to avoid duplication. Let's craft a concise but preserving all substantive info. About the role: include Sedgwick description, opportunity, purpose, locations, flexible work, etc. Responsibilities: list the essential responsibilities bullet points. Qualifications: include education & licensing, experience, etc. Benefits: include flexible work schedule, referral incentive, career development, comprehensive benefits (medical, dental, vision, 401k matching, PTO, disability, life insurance, EAP, FSA/HSA, etc.) Pay: include pay range $85-95K. Schedule: include flexible work schedule (maybe mention flexibility and autonomy). Could combine with Benefits? But schedule separate. We must not repeat same info across sections unnecessarily but it's okay if overlapping? Might be considered duplication. Better to avoid repeating same sentence. We'll try to allocate. Let's extract each piece. About the role: - Sedgwick: 33,000 colleagues, meaningful work, caring culture, work-life balance, no limit to achieve. - Recognitions: Newsweek America’s Greatest

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