Claims Adjuster - Workers Compensation (HYBRID- Glendale, CA)

Sedgwick • Glendale, CA

6d • $75,000 - $80,000 • Hybrid

About The Position

This role involves adjudicating complex workers compensation claims within an energetic culture. The position offers the opportunity to deliver innovative customer-facing solutions to clients representing virtually every industry and some of the world’s most respected organizations. You will be part of a rapidly growing, industry-leading global company known for its excellence and customer service. The role allows leveraging Sedgwick’s broad, global network of experts for learning and sharing insights, and offers a variety of professional development opportunities. Flexibility and autonomy are provided in daily work, location, and career path. Diverse and comprehensive benefits are accessible to take care of mental, physical, financial, and professional needs.

Requirements

• 4 years of claims management experience or equivalent combination of education and experience required.
• High School Diploma or GED required.
• 3 or more years California workers compensation jurisdictional knowledge required.
• SIP required or must be obtained within one (1) year of employment.

Nice To Haves

• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.

Responsibilities

• Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
• Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
• Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract.
• Analyze mid- and higher-level workers compensation claims to determine benefits due.
• Ensure ongoing adjudication of claims within company standards and industry best practices.
• Identify subrogation of claims and negotiate settlements.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, vision, 401K on day one.
• PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED