Workers Compensation Claims Examiner

Position: Workers Compensation Claims Examiner Location: Long Beach or Roseville, California (2 days in office, 3 days remote) Primary purpose: To analyze workers' compensation claims on behalf of clients to determine benefits due, ensuring adjudication within service expectations, best practices, and client requirements. Essential Responsibilities Analyze and process claims through well-developed action plans to reach appropriate and timely resolution by investigating and gathering information to determine claim exposure. 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 for directions in a timely professional manner. Qualifications 5 years of claims management experience or equivalent combination of education and experience. High School Diploma or GED required; Bachelor’s degree preferred. Professional certification in line of business preferred. California workers' compensation claims experience required; SIP preferred. Effective communication, analytical, problem-solving, and multi-tasking skills. Ability to handle work-related stress and meet deadlines. Benefits Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. Comprehensive benefits including medical, dental, vision, 401K on day one. Competitive salary range $85,000-105,000 per year (subject to location). Health savings accounts, flexible spending accounts, PTO, disability and life insurance, employee assistance program, and other voluntary benefits. Work Environment and Accommodations Reasonable accommodations will be considered when applicable. Equal Opportunity Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable Fair Chance ordinances. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. #J-18808-Ljbffr