Examiner Claims Workers Compensation II
Full-time
Sedgwick
:
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Examiner Claims Workers Compensation II Claims examiner Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? - Apply your examiner 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.
PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. ARE YOU AN IDEAL CANDIDATE? 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 RESPONSIBLITIES MAY INCLUDE - 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: TAKING CARE OF YOU - Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. #claimsexaminer 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. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 54K-75K. A 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. 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 , 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. You may be just the right candidate for this or other roles.
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Examiner Claims Workers Compensation II in El Dorado Hills, CA vacancy
- ...Job Description Job Description Description: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims...SuggestedPermanent employmentFull timeContract workWork at office
- CA Workers' Compensation Senior Claims Specialist Job Category : Claims Requisition Number : CAWOR011727 Full-Time Remote Locations Showing 1 location... ...ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a...SuggestedMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours
- CorVel Corporation seeks a CA Workers' Compensation Senior Claims Specialist to handle complex WC claims, coordinate with case managers and attorneys, and oversee subrogation and settlement activities. The role involves ensuring favorable outcomes, meeting service expectations...SuggestedRemote job
- Title: Senior Workers Compensation Claims Adjuster Company: Gallagher Location: Remote (California jurisdiction) Role Overview This role supports clients through complex workers compensation claims, providing empathic and precise resolution in a fast‑paced environment...SuggestedFull timeRemote work
$77.96k - $120.37k
...Description Job Description The Claims Training Specialist is... ...new employees Critically examine the trainees’ understanding... .... For leveled roles (I, II, III, Senior, Lead, etc.) new... ...solutions for the workers’ compensation, auto, health and disability...SuggestedMinimum wageFull timeTraineeshipWork at officeLocal areaRemote workFlexible hours$7,009 - $10,309 per month
...Location 75 Iron Point Cir Ste 200, Folsom, CA, 95630-8813, United States Base Pay $7,009.00 - $10,309.00 / Month Other Compensation Performance Incentive Pay Relocation Expense Covered No Employee Type Exempt Manage Others No Job Description Description...Relocation- Job Title Senior Claims Examiner - Workers Compensation (California) Location California Required Certification SIP certification is required. Role Overview Investigate and settle advanced, large‑loss, and complex claims with minimal supervision, working within established...
- Summary: The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements.... ...most questionable claims for investigation to claim examiner II for review and processing. Research and resolve paid and denied...Work at office
$59.9k - $98.2k
Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America... ...necessary to propose a claim resolution to stakeholders. Compensation and Benefits Your pay at Zurich is based on your role, location...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- Crawford & Company is looking for a Senior Claims Examiner for their Folsom, California office. This role entails investigating and settling complex workers compensation claims with minimal supervision. Candidates should have 4-8 years of relevant experience, a Bachelor...Work at office
- CorVel Corporation is seeking a Senior Workers’ Compensation Claims Specialist to handle complex claims and coordinate with case managers and attorneys to achieve favorable outcomes. This remote position emphasizes strong communication and thorough documentation to meet...Remote job
- ...A leading claims adjusting firm in California is looking for Licensed Claims Adjusters to join their team. This role offers a chance... ...in this rewarding career. Flexible scheduling and competitive compensation are offered. Seize this opportunity to thrive in a dynamic...Flexible hours
- A leading claims adjusting firm in California is looking for Licensed Claims Adjusters to join their team. This role offers a chance... ...in this rewarding career. Flexible scheduling and competitive compensation are offered. Seize this opportunity to thrive in a dynamic...Flexible hours
- A leading insurance firm is seeking a Senior Workers Compensation Claims Adjuster to support clients through complex claims in a fast-paced environment. Responsibilities include analyzing claims and providing excellent customer service while ensuring effective communication...Remote jobFull time
- ...our JPA. The General Liability Specialist/Senior Specialist is responsible for managing a caseload of excess general liability claims, consisting of complex and catastrophic claims along with providing oversight of TPAs and claims processes in both our excess liability...Full timeWork experience placementWork at officeRemote work
$80k - $140k
...needs and driving business growth Collaborative approach: Partner with teams across Underwriting as well as Business Development, Claims, IT and more, contributing to a unified and effective operation Innovative contribution: Stay ahead of the curve by researching market...Full timePart time- ...while building strong customer relationships. You will work with cross-functional teams across Underwriting, Business Development, Claims and IT to deliver high-quality service and innovative solutions. The role values a proactive, analytical mindset and a collaborative...
- A leading insurance firm in California is seeking an Underwriter to drive success through evaluating submissions and handling customer requests. The role requires 3+ years of underwriting experience and a strong analytical mindset, focusing on building relationships. The...
$70k - $125k
A reputable insurance company in Folsom, CA is seeking an experienced Professional Lines Underwriter. The role involves evaluating insurance submissions, building customer relationships, and contributing to a collaborative team environment. Candidates should have at least...- BRMS is seeking a Claims Examiner I to ensure accurate coding and processing of medical claims. The role involves adjudicating claims, applying plan guidelines, and coordinating with providers to gather necessary documentation for final payment determinations. The ideal...
$60k - $75k
...: Job Title: Claims Intake Specialist Location: Folsom, CA, 95630 Job Type: Full-time... ...by the State of California to resolve workers comp disputes directly with employees eliminating... ...costs, HR compliance, and workers' compensation premiums have prevented California...Full timeWork at office- Benefit & Risk Management Services, Inc. is seeking a Claims Examiner I to ensure claims are coded and processed accurately and to meet production targets. The role involves reviewing policy data, adjudicating medical claims, applying plan guidelines, and gathering documentation...Work at office
- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained...Full timeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Examiner Claims Workers Compensation II. Be the first to apply!


