Workers Compensation Claims Examiner | Roseville or Long Beach, CA

Workers Compensation Claims Examiner – Roseville or Long Beach, CA Primary purpose of the role: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Essential Responsibilities Analyzing and processing claims through well‑developed action plans to reach 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 direction in a professional and timely manner. Qualifications Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor’s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge California workers' compensation claims experience required | SIP Preferred Benefits and Working Conditions Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental, vision, 401(k) on day one. Compensation range: $80,000‑$98,000/yr (subject to location and experience). Detailed benefits include PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other voluntary benefits. Work Environment Requirements – Include When applicable and appropriate, consideration will be given to reasonable accommodations. Mechanical: Computer keyboarding. Auditory/Visual: Hearing, vision, and talking. Mental Skills Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work‑related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Equal Opportunity and Fair‑Chance Disclosure Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement