Claims Examiner Workers Compensation CA Remote
location_onNational Avenue, Cedar Street, Helena, Lewis and Clark County, Montana, 59625, United States
Job Description
Primary Purpose of the Role
We are looking for driven individuals that embody our caring model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Work Environment
Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.
Equal Opportunity
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
Work location
Work model: Remote
National Avenue, Cedar Street, Helena, Lewis and Clark County, Montana, 59625, United States
Helena, Montana
Key Responsibilities
- check_circleAnalyze California workers compensation claims to determine benefits due
- check_circleCommunicate claim activity and processing with claimant status to clients
- check_circleReport claims to excess carriers and respond to directions
- check_circleInvestigate claims and gather information to determine exposure
- check_circleNegotiate claim settlements within designated authority
Requirements
- verified5 years of claims management experience or equivalent combination of education and experience
- verifiedHigh School Diploma or GED required
- verifiedBachelor's degree from an accredited college or university preferred
- verifiedProfessional certification as applicable to line of business preferred
- verifiedCalifornia jurisdiction knowledge
Benefits & Perks
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Skills, education and keywords
Skills: workers compensation, claims management, adjudication.
Education: High School Diploma or GED required; Bachelor's degree preferred.