Workers Compensation - Claims Examiner | Orange, CA

Sedgwick • Orange, CA

2d • Hybrid

About The Position

This role involves analyzing and adjudicating complex workers compensation claims within an energetic culture. The position offers the opportunity to deliver innovative customer-facing solutions to clients across various industries and to be part of a rapidly growing, industry-leading global company. The role allows for leveraging Sedgwick’s global network of experts, taking advantage of professional development opportunities, and enjoying flexibility and autonomy in daily work, location, and career path. A diverse and comprehensive benefits package is available to support mental, physical, financial, and professional needs.

Requirements

• 3 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

• 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.

Benefits

• Flexible work schedule.
• Referral incentive program.
• Career development and promotional growth opportunities.
• Medical, dental, vision, 401K on day one.
• Comprehensive benefits package 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.

What This Job Offers

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