Description
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're looking for a Workers Compensation - Claims Adjuster to join our team in Orange, CA. As a Claims Adjuster, you will analyze mid- and higher-level workers compensation claims to determine benefits due, ensure ongoing adjudication of claims within company standards and industry best practices, and identify subrogation of claims and negotiate settlements.
Responsibilities:
- Manage workers compensation claims determining compensability and benefits due on long-term indemnity claims
- Monitor reserve accuracy and file necessary documentation with state agency
- Develop and manage workers compensation claims' action plans to resolution
- Coordinate return-to-work efforts and approve claim payments
- Approve and process assigned claims, determine benefits due, and manage action plan pursuant to the claim or client contract
- Manage subrogation of claims and negotiate settlements
- Communicate claim action with claimant and client
- Ensure claim files are properly documented and claims coding is correct
Requirements:
- Bachelor's degree from an accredited college or university preferred
- Four (4) years of California Workers Compensation 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:
- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one
Salary Range: $73,000 - $85,000