Workers Compensation Claims Examiner – Dedicated Account
Sedgwick
full-time
Posted on:
Location Type: Hybrid
Location: Rancho Cucamonga • California • United States
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Salary
💰 $80,000 - $95,000 per year
About the role
- Analyze workers' compensation claims on behalf of clients to determine benefits due.
- Ensure ongoing adjudication of claims within service expectations and client service requirements.
- Investigate and gather information to determine the exposure on the claim.
- Negotiate settlement of claims within designated authority.
- Communicate claim activity and processing with the claimant and the client.
- Report claims to the excess carrier and respond to requests in a 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 handling experience | SIP certified 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 analysisnegotiationadjudicationinvestigationreporting
Soft skills
communicationclient servicetimeliness
Certifications
SIP certification