Workers Compensation Claims Examiner | Riverside, Ca
Sedgwick
Riverside, CA, United States
Base: $80,000-$93,000pyr; bonus/equity: not specif...
On-site
Analyze complex customer claims
Investigate and gather information
Negotiate settlement of claims
Sedgwick is seeking a Workers Compensation Claims Examiner in Riverside, CA, to adjudicate complex claims with a focus on delivering excellent customer service. The role emphasizes a caring culture, professional development, and a strong commitment to employee well-being
Job Summary
Analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.
Matching Summary
Match Score: 85
Sedgwick is seeking a Workers Compensation Claims Examiner in Riverside, CA, to adjudicate complex claims with a focus on delivering excellent customer service. The role emphasizes a caring culture, professional development, and a strong commitment to employee well-being.
Salary
Base: $80,000-$93,000/yr; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package offered
Skills & Requirements
Must-have
analyze complex customer claims
investigate and gather information
negotiate settlement of claims
communicate claim activity and processing
report claims to excess carrier
Nice-to-have
driven individuals
caring counts model
empathy, accountability, collaboration, growth, and inclusion
Key Requirements
5 years of claims management experience
High School Diploma or GED
California workers' compensation claims experience