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 Claims Examiner- Workers Compensation to join our team in Brea, CA (Hybrid). As a Claims Examiner, you will analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Responsibilities:
- Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Negotiate settlement of claims within designated authority.
- Communicate claim activity and processing with the claimant and the client.
- Report claims to the excess carrier and respond to requests of directions in a professional and timely manner.
Requirements:
- Five (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 jurisdictional knowledge required; SIP required or must be obtained within one (1) year of start date.
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: $80,000 - $110,000 per year