Claims Examiner Workers Compensation CA Remote
location_onCapital Court Building, 1110, Capitol Way South, Olympia, Thurston County, Washington, 98501, United States
Job Description
About the Role
We are looking for driven individuals that embody our caring model and core values that include empathy, accountability, collaboration, growth, and inclusion. As a Claims Examiner for Workers Compensation in California, you will analyze claims on behalf of our valued clients to determine benefits due, ensuring ongoing adjudication within service expectations, industry best practices, and specific client service requirements.
Work Environment
This is a remote position requiring physical computer keyboarding and auditory/visual capabilities for hearing, vision, and talking. The role demands clear and conceptual thinking ability, excellent judgement and discretion, and the ability to meet deadlines.
Compensation and Benefits
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 $63,404 - $95,000/yr.
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. Additional perks include a flexible work schedule, referral incentive program, opportunity to work in an agile environment, and career development and promotional growth opportunities.
Equal Opportunity Employer
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
Work location
Work model: Remote
Capital Court Building, 1110, Capitol Way South, Olympia, Thurston County, Washington, 98501, United States
Olympia, Washington
Key Responsibilities
- check_circleAnalyze California workers compensation claims to determine benefits due
- check_circleCommunicate claim activity and processing with claimants and 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
- verifiedKnowledge of California jurisdiction
Benefits & Perks
Skills, education and keywords
Skills: workers compensation.
Education: High School Diploma or GED required; Bachelor's degree from an accredited college or university preferred.