Claims Examiner, Workers Compensation I

Sedgwick

Claims Examiner in California responsible for analyzing and processing workers compensation claims. Delivering customer-facing solutions and ensuring claims are adjudicated within service expectations.

Posted 6/29/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $60,234 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims management, including analyzing and processing claims, negotiating settlements, and effective communication with claimants and clients. Possesses knowledge of California licensing and jurisdiction requirements.

Highest-signal resume keywords

Claims Management ExperienceNegotiation SkillsCommunication SkillsCalifornia Licensing KnowledgeProfessional Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisClaims ProcessingSettlement NegotiationInformation GatheringAction Plan Development

Soft Skills

Professional CommunicationTimely Response

Certifications & Qualifications

Professional Certification

Industry Keywords

Claims ManagementExcess Carrier ReportingJurisdiction KnowledgeClaim Activity Reporting

About the role

Key responsibilities & impact

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.
Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Requirements

What you’ll need

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.
Licensing / Jurisdiction Knowledge: California

Benefits

Comp & perks

Flexible work schedule.
Referral incentive program.
Opportunity to work in an agile environment.
Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.