Claims Representative (IAP): Workers Compensation Training Program | Rancho Cordova, CA

Claims Representative (IAP): Workers Compensation Training Program – Rancho Cordova, CA Join our Workers Compensation Training Program to learn how to investigate and resolve complex claims for employees and customers from some of the world’s most reputable brands. Primary Purpose of the Role To be oriented and trained as a new industry professional. This role begins with a comprehensive 4‑week concept‑based learning and professional training program, followed by a dedicated onboarding experience before entering the on‑the‑job phase. You will be assigned a mentor and manager that will support and guide you on your career journey and be equipped with the foundational skills needed for a successful career in claims adjusting. While in the program, you’ll have the opportunity to grow and advance within the industry. Next Class Date August31,2026 Location In‑office – Rancho Cordova, CA Ideal Candidate Strong communicator Empathetic Multi‑tasker Accountable Structured thinker Ambitious Agile learner Team collaborator Essential Responsibilities Attendance and completion of the designated claims professional training program. Adjusting various levels of workers’ compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails, and other claim related documents according to the status of the claim. Communicating effectively with injured workers, insureds/employers, medical providers, attorneys and carrier representatives, primarily through telephone, video conference and email. Thoroughly investigating new and existing claims by gathering relevant information including medical records, employer reports, and witness statements. Investigating employer/employee relationships, policy verification, coverage and any potential for subrogation issues or fraud indicators. Determining coverage, compensability and appropriate benefits in accordance with jurisdictional guidelines and carrier program requirements. Documenting claim files and properly coding claim activity. Preparing detailed reports documenting findings and recommendations. Administering claim benefits, i.e., indemnity and medical benefits, through maintenance of calendared claim‑related action items, ensuring state compliance. Participating in virtual and/or in‑person meetings, claim reviews and business functions as needed for educational training, claim discussions and various meetings. Qualifications Education requirement: High School Diploma or GED. Bachelor’s degree preferred and 2 years of customer service experience and/or a combination of education and experience. Work Environment Requirements 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. Auditory/Visual: Hearing, vision and speaking. Compensation and Benefits As required by law, this role is posted in a jurisdiction allowing pay transparency. The starting pay range is $27.69/hr. Additional information on total compensation can be provided upon request. Medical, dental and vision insurance. 401(k) with company match. PTO, disability and life insurance. Employee assistance program. Flexible spending or health savings account. Other voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. #J-18808-Ljbffr