Workers Compensation Claims Examiner | Remote - CA Residents

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.

• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution
• 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

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. We offer a caring culture, work-life balance, and a variety of professional development opportunities to help you perform your best work and grow your career.

Qualifications

• 5 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
• California workers' compensation claims experience required | SIP Preferred

Benefits

• Flexible work schedule
• Referral incentive program
• Career development and promotional growth opportunities
• A diverse and comprehensive benefits offering including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits

Work Environment

• 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