Workers' Compensation Claims Examiner – CA WC Experience Required

🕒 July 14

🏄 California – Remote

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💵 $80k - $105k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

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👻 Ghost score 35%

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Logo of Sedgwick

Sedgwick

10,000+ employees

🏗️ Construction

💼 Consulting

🏥 Healthcare

Construction • Consulting • Healthcare

Sedgwick is a global provider of technology-enabled risk, benefits, and integrated business solutions. They help people and organizations by managing and mitigating risk with solutions in accident, health, disability, unemployment compensation, and liability claims administration, among others. Sedgwick offers services such as claims administration, building consulting, forensic accounting, and forensic engineering. Their specialties include property restoration, brand protection, and loss prevention across several industries, including agriculture, construction, and environmental sectors. The company emphasizes diversity, equity, and inclusion (DEI) as well as environmental, social, and governance (ESG) practices.

📋 Description

• To analyze complex or technically difficult California workers' compensation claims to determine benefits due. • To work with high exposure claims involving litigation and rehabilitation. • To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements. • To identify subrogation of claims and negotiate settlements.

🎯 Requirements

• Bachelor's degree from an accredited college or university preferred. • Four (4) years of workers compensation claims management experience or equivalent combination of education and experience required. • California jurisdictional knowledge required; SIP required or must be obtained within one year of hire 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.

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