Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote (rancho Cucamonga, Ca)

Sedgwick

Rancho Cucamonga, CA, United States
Base: $80,000-$95,000pyr; bonus/equity: not specif...
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Analyze and process claims
Investigate and gather information
Negotiate settlement of claims
** Sedgwick is seeking a Workers Compensation Claims Examiner for a hybrid position based in Rancho Cucamonga, CA, allowing three days of remote work. The role involves adjudicating complex claims while embodying the company’s core values of empathy, accountability, collaboration, growth, and inclusion. **

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.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Matching Summary

Match Score: 75

** Sedgwick is seeking a Workers Compensation Claims Examiner for a hybrid position based in Rancho Cucamonga, CA, allowing three days of remote work. The role involves adjudicating complex claims while embodying the company’s core values of empathy, accountability, collaboration, growth, and inclusion. **

Salary

Base: $80,000-$95,000/yr; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package offered

Skills & Requirements

Must-have

  • analyze and process claims
  • investigate and gather information
  • negotiate settlement of claims
  • communicate claim activity
  • report claims to excess carrier

Nice-to-have

  • embody caring counts model
  • drive innovation
  • leverage global network
  • professional development opportunities

Key Requirements

  • 5 years of claims management experience
  • High School Diploma or GED
  • California workers' compensation claims handling experience
  • SIP certified preferred

Work Rights

Not specified

Tailored Resume

Cover Letter