Claims Examiner - Workers Compensation (West Hills,CA/Remote 3 days)

Claims Examiner – Workers Compensation (West Hills, CA / Remote 3 days) We are looking for driven individuals who embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Please see below for responsibilities and qualifications. 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 Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiate settlement of claims within designated authority. Communicate claim activity and processing with the claimant and the client. Report claims to the excess carrier and respond 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: SIP required or must be obtained within one year of employment; California workers compensation jurisdictional knowledge required. Benefits & Working Conditions Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. Diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one. Other benefits: PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. 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. The starting pay range for this role is $80,000 - $98,000. The comprehensive benefits package is offered including but not limited to medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. 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