Claims Adjuster – Workers Compensation

Sedgwick

Workers’ compensation claims adjuster adjudicating and settling claims for Sedgwick, a global risk and claims administration partner. Investigating exposures, communicating with clients and claimants, and ensuring timely claim resolutions.

Posted 8/5/2026full-timeOntario • California • 🇺🇸 United StatesMid-LevelSenior💰 $75,000 - $78,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing and processing workers' compensation claims, negotiating settlements, and adhering to industry best practices. Proficient in managing multiple priorities while maintaining excellent judgment and problem-solving abilities.

Highest-signal resume keywords

Claims Management ExperienceCalifornia Workers’ Compensation Claims HandlingNegotiation SkillsSIP CertificationAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims AnalysisClaims ProcessingInvestigation SkillsSettlement NegotiationAdjudicationComputer Keyboarding

Soft Skills

Clear ThinkingExcellent JudgmentProblem-SolvingDiscretionStress Management

Certifications & Qualifications

High School DiplomaGEDBachelor’s DegreeProfessional CertificationSIP Certification

Industry Keywords

Workers’ CompensationClaims HandlingClient RequirementsService ExpectationsExcess Carrier Reporting

About the role

Key responsibilities & impact

Analyze and process workers’ compensation claims through action plans toward timely and appropriate resolution
Investigate claims and gather information to determine claim exposure
Negotiate claim settlements within designated authority
Communicate claim activity and processing with claimants and clients
Report claims to the excess carrier
Respond professionally and promptly to requests for directions
Adjudicate customer claims and determine benefits due while meeting service expectations, industry best practices, and client requirements

Requirements

What you’ll need

4 years of claims management experience or equivalent combination of education and experience
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 certification preferred
Ability to analyze and process claims
Ability to investigate and gather claim information
Ability to negotiate settlements within designated authority
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem-solving, analysis, and discretion
Ability to handle work-related stress
Ability to handle multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding ability
Travel as required

Benefits

Comp & perks

Flexible work schedule
Referral incentive program
Career development and promotional growth opportunities
Medical, dental, and vision coverage on day one
401(k) and matching on day one
PTO
Disability and life insurance
Employee assistance program
Flexible spending or health savings account
Work-life balance
Professional development opportunities
Flexible location and career path