Workers Compensation Claims Examiner (Dedicated Client) | Rancho Cordova, CA

Workers Compensation Claims Examiner (Dedicated Client) Location: Rancho Cordova, CA Overview We are looking for a driven individual who can adjudicate complex workers' compensation claims and ensure timely resolution, high exposure claims involving litigation and rehabilitation, and negotiation of settlements. 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 across industries. 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 share insights. Take advantage of a variety of professional development opportunities. Enjoy flexibility and autonomy in daily work, location, and career path. Access diverse and comprehensive benefits. Primary Purpose To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Essential Functions Analyzing and processing claims through well-developed action plans to a 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 Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (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 jurisdictional knowledge required; SIP required or must be obtained within one year of start date. Benefits 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. Work Environment When applicable and appropriate, consideration will be given to reasonable accommodations. Mental 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. Physical Computer keyboarding, travel as required. Auditory / Visual Hearing, vision and talking. Eligibility Credit security clearance, confirmed via a background credit check, is required for this position. Compensation For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 - $100,000 per year. A comprehensive benefits package is offered including but not limited to medical, dental, vision, 401(k) and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Equal Opportunity Statement Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement