Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

About the role

Join Sedgwick, a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands. This role offers an opportunity to analyze complex or technically difficult workers' compensation claims, negotiate settlements, and manage the litigation process.

Responsibilities

• Analyze and process complex or technically difficult workers' compensation claims
• Negotiate settlement of claims within designated authority
• Manage the litigation process to ensure timely and cost-effective claims resolution
• Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets
• Report claims to the excess carrier and respond to requests in a professional and timely manner
• Communicate claim activity and processing with the claimant and the client, maintaining professional client relationships
• Maintain proper documentation and correct claims coding
• Refers cases as appropriate to supervisor and management

Qualifications

• Bachelor's degree from an accredited college or university preferred
• Professional certification as applicable to line of business preferred
• Five (5) years of claims management experience or equivalent combination of education and experience required
• California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of employment

Benefits

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.