Workers Compensation Claims Adjuster

Sedgwick

Analyze workers' compensation claims for a global leader while ensuring service expectations. Collaborate with clients and provide timely resolutions for claims management.

Posted 4/23/2026full-timeOrange • California • 🇺🇸 United StatesMid-LevelSenior💰 $70,000 - $86,000 per yearWebsite

About the role

Key responsibilities & impact

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 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.

Requirements

What you’ll need

4 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

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims managementworkers' compensation claims analysisnegotiationadjudicationsettlement negotiationaction plan developmentinformation gatheringclaim processing

Soft Skills

communicationanalytical thinkingproblem-solving

Certifications

SIP certification