Claims Examiner - Workers Compensation | Riverside, Ca (wfh 2 Days)

Sedgwick

Riverside, CA, United States
Base: $72,914.00-$101,000.00; bonus/equity: not sp...
Hybrid (2 days wfh)
Workers compensation claims adjudication
Analyze and process claims
Communicate claim activity
Sedgwick is seeking a Claims Examiner for Workers Compensation in Riverside, CA, offering a hybrid work model with two days of remote work. The role focuses on analyzing and adjudicating complex claims, emphasizing a culture of empathy and collaboration while providing professional growth opportunities

Job Summary

  • Analyze Workers Compensation claims on behalf of clients to determine benefits due, ensuring ongoing adjudication within service expectations and industry best practices.
  • Negotiate settlement of claims within designated authority and communicate claim activity and processing with the claimant and the client.
  • Sedgwick offers a flexible work schedule, referral incentive program, career development opportunities, and a comprehensive benefits package including medical, dental, vision, and 401K on day one.

Matching Summary

Match Score: 85

Sedgwick is seeking a Claims Examiner for Workers Compensation in Riverside, CA, offering a hybrid work model with two days of remote work. The role focuses on analyzing and adjudicating complex claims, emphasizing a culture of empathy and collaboration while providing professional growth opportunities.

Salary

Base: $72,914.00-$101,000.00; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Workers Compensation claims adjudication
  • Analyze and process claims
  • Communicate claim activity

Nice-to-have

  • Embody caring counts model
  • Innovative customer-facing solutions
  • Global network of experts

Key Requirements

  • 5 years of claims management experience
  • High School Diploma or GED
  • California workers compensation jurisdictional knowledge
  • SIP required or must be obtained within one (1) year

Work Rights

Not specified

Tailored Resume

Cover Letter