Workers Compensation Claims Examiner

🔥 2 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $85k - $105k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Sedgwick

WebsiteLinkedInAll Job Openings

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

• Analyze and process workers compensation claims through action plans to achieve appropriate and timely resolution • Investigate and gather information to determine claim exposure • Negotiate claim settlements within designated authority • Communicate claim activity and processing with claimants and clients • Report claims to the excess carrier • Respond professionally and promptly to requests for directions • Adjudicate complex workers compensation claims on behalf of clients • Deliver customer-facing solutions to clients across industries

🎯 Requirements

• 4 years of claims management experience or equivalent combination of education and experience required • High School Diploma or GED required • California workers compensation jurisdictional knowledge required • SIP required or must be obtained within one year of employment • Bachelor's degree from an accredited college or university preferred • Professional certification as applicable to line of business preferred • Ability to analyze and process workers compensation claims • Negotiation skills for claim settlements within designated authority • Excellent judgment, troubleshooting, problem-solving, analysis, and discretion • Ability to handle work-related stress and multiple priorities simultaneously • Ability to meet deadlines • Computer keyboarding ability • Hearing, vision, and talking abilities

🏖️ Benefits

• Flexible work schedule • Referral incentive program • Career development and promotional growth opportunities • Medical, dental, and vision benefits on day one • 401(k) on day one • 401(k) matching • Paid time off (PTO) • Disability insurance • Life insurance • Employee assistance program • Flexible spending or health savings account • Additional voluntary benefits • Remote work flexibility and autonomy

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