Workers Compensation Claims Examiner | Orange, CA

Sedgwick•Orange, CA

4d•$85,000 - $100,000•Hybrid

About The Position

This role involves adjudicating complex workers compensation claims within an energetic culture, delivering innovative customer-facing solutions to clients across various industries. The position is with a rapidly growing, industry-leading global company known for its excellence and customer service. The role offers the opportunity to leverage a broad, global network of experts, access professional development opportunities, and enjoy 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.