Workers Compensation Claims Examiner, CA Jurisdiction Knowledge Required
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Rancho Cordova • California • 🇺🇸 United States
Visit company websiteSalary
💰 $80,000 - $105,000 per year
Job Level
Mid-LevelSenior
About the role
- To analyze complex or technically difficult workers' compensation claims to determine benefits due.
- Manage claims through well-developed action plans to an appropriate and timely resolution.
- Negotiate settlement of claims within designated authority.
- Prepare necessary state fillings within statutory limits.
- Manage claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Requirements
- Five (5) years of claims management experience or equivalent combination of education and experience required.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- California jurisdiction knowledge; SIP required or must be obtained within one (1) year of employment.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementnegotiationsettlement preparationsubrogationSecond Injury FundSocial Security offsetsMedicare offsets
Soft skills
analytical skillsaction planningtimely resolution management
Certifications
SIP certification