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Sedgwick · 16 hours ago

Claims Examiner - Workers Compensation - Brea, CA (Hybrid)

Brea, CA

Full-time

Hybrid

Mid, Senior Level

$85K/yr - $105K/yr

5+ years exp

Sedgwick is a global industry leader committed to providing excellent customer service and innovative solutions. The Claims Examiner role involves analyzing complex workers' compensation claims, negotiating settlements, and ensuring claims are adjudicated within service expectations.

BankingInsuranceRisk Management

Hiring Manager

Amy MacPherson

Responsibilities

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

Qualification

Claims managementCalifornia jurisdiction knowledgeProfessional certificationNegotiation skillsBachelor's degreeEmpathyAccountabilityInclusionCollaborationGrowth mindset

Required

Five (5) years of claims management experience or equivalent combination of education and experience required

High School Diploma or GED required

California jurisdictional knowledge required

SIP required or must be obtained within one (1) year of start date

Preferred

Bachelor's degree from an accredited college or university preferred

Professional certification as applicable to line of business preferred

Benefits

Flexible work schedule.

Referral incentive program.

Career development and promotional growth opportunities.

A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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.