Workers Compensation Claims Examiner | Bonus Eligible | Roseville or Long Beach, CA
About The Position
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 invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Sedgwick is recognized as America’s Greatest Workplaces, a National Top Company Certified as a Great Place to Work®, and among Fortune Best Workplaces in Financial Services & Insurance. This role offers an opportunity to join a global industry leader, apply knowledge and experience to adjudicate complex customer claims in an energetic culture, and deliver innovative customer-facing solutions to clients across various industries. The position is part of a rapidly growing, industry-leading global company known for its excellence and customer service. You will leverage Sedgwick’s broad, global network of experts for learning and sharing insights, and take advantage of professional development opportunities. The role offers flexibility and autonomy in daily work, location, and career path, along with diverse and comprehensive benefits for mental, physical, financial, and professional needs. The primary purpose of the role is to analyze workers' compensation claims on behalf of valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Requirements
- 5 years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required.
- California workers' compensation claims experience required.
Nice To Haves
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- SIP 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.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
- Comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
Number of Employees
251-500 employees
