Claims Examiner I, Workers Compensation
Sedgwick
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $60,200 - $90,000 per year
About the role
- Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
- Manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Five (5) years of claims management experience or equivalent combination of education and experience required.
Benefits
- medical
- dental
- vision
- 401k and matching
- PTO
- disability and life insurance
- employee assistance
- flexible spending or health savings account
- other additional voluntary benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementworkers' compensation claimsnegotiationreserve calculationclaims processingsettlement negotiationbenefit calculationclaims adjustmentaction plan development
Soft Skills
analytical skillsproblem-solvingcommunicationdecision-makingtime management
Certifications
professional certification