Workers Compensation Claims Adjuster

Sedgwick

Claims Adjuster responsible for determining benefits due for workers compensation claims. Analyzing mid and higher-level claims to ensure adjudication within industry best practices and standards.

Posted 6/10/2026full-timeRiverside • California • 🇺🇸 United StatesMid-LevelSenior💰 $65,000 - $85,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

claims managementworkers compensation claimsadjudicationnegotiationsubrogationlong term indemnity claimsbenefits determination

Industry Keywords

California workers' compensationindustry best practices

About the role

Key responsibilities & impact

Analyze mid- and higher-level workers compensation claims to determine benefits due
Ensure ongoing adjudication of claims within company standards and industry best practices
Identify subrogation of claims and negotiate settlements
Manage workers compensation claims determining compensability and benefits due on long term indemnity claims
Approve and process assigned claims and determine benefits due

Requirements

What you’ll need

Bachelor's degree from an accredited college or university preferred
Three (3) years of claims management experience or equivalent combination of education and experience required
California workers' compensation claims experience required | SIP Preferred

Benefits

Comp & perks

Medical
Dental
Vision
401k and matching
PTO
Disability and life insurance
Employee assistance
Flexible spending or health savings account
Other additional voluntary benefits