Workers Compensation Claims Examiner - CA or NV license required

About the Role

Join Sedgwick, a global industry leader, and apply your examiner knowledge and experience to adjudicate complex workers compensation claims. You’ll deliver innovative customer-facing solutions to clients across virtually every industry, including some of the world’s most respected organizations. Be part of a rapidly growing company known for excellence and customer service, leveraging a broad network of experts to learn and share insights. Enjoy flexibility, autonomy, and professional development opportunities while contributing to meaningful work that impacts people worldwide.

Responsibilities

• Analyze and process workers compensation claims through well-developed action plans to achieve timely resolution by investigating and gathering information to determine claim exposure.
• Negotiate settlement of claims within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to excess carriers and respond to their requests in a professional and timely manner.

Requirements

• High School Diploma or GED required; Bachelor’s degree from an accredited college or university preferred.
• 5 years of claims management experience or equivalent combination of education and experience.
• Must be licensed in California or Nevada.
• Professional certification applicable to the line of business preferred.

Work Environment

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

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Comprehensive benefits package including medical, dental, vision, and 401K with matching (available on day one).
• Paid time off (PTO), disability and life insurance, employee assistance program, flexible spending or health savings account, and additional voluntary benefits.

Pay

For the jurisdiction noted in this job posting, the range of starting pay for this role is $80,000–$100,000. Actual compensation is influenced by factors including skill set, level of experience, and cost of specific location.