Claims Representative (IAP) - Workers Compensation Training Program | Roseville & Long Beach, CA

Claims Representative (IAP) – Workers Compensation Training Program Location: Roseville, CA or Long Beach, CA – Onsite Start Date: 07/20/26 Salary: $27.69/hr (starting pay in this jurisdiction) PRIMARY PURPOSE OF THE ROLE To be oriented and trained as a new industry professional through a 4‑week learning program, onboarding, and mentorship, developing foundational skills for a career in claims adjusting. ARE YOU AN IDEAL CANDIDATE? Strong communicator Empathetic Multi‑tasker Accountable Structured thinker Ambitious Agile learner Team collaborator ESSENTIAL RESPONSIBILITIES INCLUDE Attendance and completion of the designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision. Processing and responding to incoming mail, emails, and other claim‑related documents according to status. Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives via telephone, video conference, and email. Investigating new and existing claims by collecting medical records, employer reports, and witness statements. Assessing employer/employee relationships, policy verification, coverage, and potential subrogation or fraud indicators. Determining coverage, compensability, and appropriate benefits per jurisdictional guidelines and carrier requirements. Documenting claims files and coding claim activity. Preparing detailed reports of findings and recommendations. Administering claim benefits (indemnity and medical) while maintaining scheduled actions and ensuring state compliance. Participating in virtual and/or in‑person meetings, claim reviews, and business functions as needed for training and discussions. QUALIFICATIONS High School Diploma or GED; Bachelor’s degree preferred. At least 2 years of customer service experience or a combination of education and experience. WORK ENVIRONMENT REQUIREMENTS INCLUDE Mental: clear conceptual thinking, excellent judgment, problem‑solving, ability to manage multiple priorities and meet deadlines. Physical: computer keyboarding. Audiovisual: hearing, vision, and speaking. BENEFITS Medical, dental, and vision insurance 401(k) plan with matching contributions Paid time off (PTO) Disability and life insurance Employee assistance program Flexible spending or health savings account options Additional voluntary benefits A reasonable range of compensation is provided for jurisdictions requiring pay transparency. The starting pay range for this role is $27.69/hr. All qualified applicants will receive consideration in accordance with the applicable Fair Chance Ordinances and Equal Opportunity laws. Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. If your experience does not align exactly with every qualification, please consider applying. We encourage a diverse, equitable, and inclusive workforce. #J-18808-Ljbffr Segment (Twilio)