Workers Compensation Claims Examiner - Orange, CA

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 involves analyzing complex or technically difficult workers' compensation claims, negotiating settlements, and managing the litigation process.

Responsibilities

• Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
• Manages claims through well-developed action plans to an appropriate and timely resolution.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process; ensures timely and cost-effective claims resolution.
• Leverages Sedgwick’s broad, global network of experts to both learn from and to share your insights.
• Takes advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
• Enjoys flexibility and autonomy in your daily work, your location, and your career path.
• Accesses diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs.

Qualifications

• 5 years of claims management experience or equivalent combination of education and experience required.
• A High School Diploma or GED required.
• A Bachelor's degree from an accredited college or university preferred.
• A professional certification as applicable to line of business preferred.
• California workers' compensation claims handling experience | SIP certified preferred.