Claims Examiner I Workers Compensation I Ca Experience Required

Sedgwick Australia Pty Ltd

Base: $60,200 - $90,000pyr; bonus/equity: not spec...
Workers compensation claims
Analyze complex claims
Determine benefits due
Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations

Job Summary

  • Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations.
  • Negotiate settlement of claims within designated authority, calculate and assign timely and appropriate reserves, and manage reserve adequacy throughout the life of the claim.
  • Sedgwick offers a comprehensive benefits package including medical, dental, vision, 401k and matching, PTO, disability and life insurance, and more.

Matching Summary

Analyze complex or technically difficult workers' compensation claims to determine benefits due, work with high exposure claims involving litigation and rehabilitation, and ensure ongoing adjudication of claims within service expectations.

Salary

Base: $60,200 - $90,000/yr; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Workers Compensation claims
  • Analyze complex claims
  • Determine benefits due
  • High exposure claims
  • Litigation and rehabilitation
  • Cost containment techniques

Nice-to-have

  • Caring culture
  • Work-life balance
  • Team environment
  • Professional client relationships

Key Requirements

  • Five (5) years of claims management experience
  • Bachelor's degree preferred
  • Professional certification preferred

Work Rights

Not specified

Tailored Resume

Cover Letter