Workers Compensation, Claims Examiner
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Ontario • California • United States
Visit company websiteExplore more
Salary
💰 $80,000 - $87,000 per year
About the role
- To analyze workers' compensation claims on behalf of our valued clients to determine benefits due.
- 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.
- 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.
Requirements
- 5 years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- California workers' compensation claims knowledge | SIP Certificate 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims managementworkers' compensation claims analysisnegotiationadjudicationsettlement negotiationinformation gatheringaction plan developmentclaims processing
Soft skills
communicationprofessionalismtimeliness
Certifications
SIP Certificate