Workers Compensation Claims Examiner | Long Beach or Roseville, CA

Overview 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. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies; Certified as a Great Place to Work®; Fortune Best Workplaces in Financial Services & Insurance. Role Location Employer: Sedgwick. Office locations: Long Beach or Roseville, California (2 days in-office, 3 days remote). Responsibilities Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. Ideal Candidate Are you an ideal candidate? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Office Locations Long Beach or Roseville, California (2 days in-office, 3 days remote). 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 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. 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 Compensation and Benefits Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency. The actual compensation is influenced by skill set, experience, location, and other factors. The jurisdiction noted in this job posting has a starting pay range of $80,000-$98,000 per year. A comprehensive benefits package is offered including medical, dental, vision, 401k with matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other benefits. Care & Work Environment Taking care of you: Flexible work schedule; referral incentive program; career development and promotional growth opportunities; a diverse and comprehensive benefits offering. Work Environment Requirements: When applicable, reasonable accommodations will be considered. Mental: clear thinking, judgment, problem solving, and ability to handle multiple priorities and deadlines. Physical: keyboarding. Auditory/Visual: hearing, vision, and talking. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. This role's starting pay is $80,000-$98,000 per year. A comprehensive benefits package is offered including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, and other benefits. #hybrid #claims #claimsexaminer Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. #J-18808-Ljbffr Sedgwick