Claims Examiner - Workers Compensation | Dedicated Client

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Claims Examiner - Workers Compensation | Dedicated Client

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 knowledge and experience to adjudicate complex workers compensation 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.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Seeking a seasoned California Workers Compensation Examiner who values strong client partnerships, enjoys a reasonable caseload, and works within a well‑managed intake environment.
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.
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.
Education & Licensing: 3 years of claims management experience or equivalent combination of education and experience required.
High School Diploma or GED required. Bachelors degree from an accredited college or university preferred.
Flexible work schedule.
Career development and promotional growth opportunities.
Diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
excellent judgment, troubleshooting, problem solving, analysis, and discretion; Computer keyboarding
Auditory/Visual:

Hearing, vision and talking
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.

#Claims #ClaimsExaminer
Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.