# Workers Compensation Claims Examiner - CA

**Company**: Sedgwick
**Location**: Riverside, CA
**Work arrangement**: onsite
**Experience**: senior
**Job type**: full-time
**Salary**: $95,000-105,000
**Category**: Operations
**Industry**: Insurance

**Apply**: https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Riverside-CA/Workers-Compensation-Claims-Examiner---CA---On-Site-or-Remote_R78146?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_443e6fff-2f1

## 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 seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well-managed intake environment.

**Primary Purpose of the Role:** 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.

**Essential Responsibilities May Include:**

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

**Qualifications:**

- Education & Licensing: 3 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.

- Licensing / Jurisdiction Knowledge: 3 or more years California workers compensation 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.

- Diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

The salary range for this role is $95,000-105,000 per year.

## Skills

### Required
- California workers compensation jurisdictional knowledge
- claims management
- SIP

### Nice to have
- Professional certification
- Bachelor's degree

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Source: [Apply at sedgwick.wd1.myworkdayjobs.com](https://sedgwick.wd1.myworkdayjobs.com/en-US/Sedgwick/job/Riverside-CA/Workers-Compensation-Claims-Examiner---CA---On-Site-or-Remote_R78146?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)