Workers Compensation Claims Examiner | West Hills, Ca (remote 3 Days)

Sedgwick

West Hills, CA, United States
Base: $80,000 - $98,000; benefits: comprehensive b...
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Workers compensation claims
Analyze claims
Determine benefits due
** Sedgwick is seeking a Workers Compensation Claims Examiner for a hybrid position based in West Hills, CA, allowing three days of remote work. The role involves analyzing and adjudicating complex workers’ compensation claims within a supportive and flexible work environment. **

Job Summary

  • Analyze and process Workers Compensation claims to determine benefits due, ensuring timely resolution within service expectations.
  • Negotiate claim settlements, communicate claim activity to claimants and clients, and report claims to the excess carrier.
  • Sedgwick offers a caring culture, work-life balance, professional development, and comprehensive benefits.

Matching Summary

Match Score: 75

** Sedgwick is seeking a Workers Compensation Claims Examiner for a hybrid position based in West Hills, CA, allowing three days of remote work. The role involves analyzing and adjudicating complex workers’ compensation claims within a supportive and flexible work environment. **

Salary

Base: $80,000 - $98,000; Benefits: Comprehensive benefits package including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Skills & Requirements

Must-have

  • Workers Compensation claims
  • Analyze claims
  • Determine benefits due
  • Client service requirements
  • Investigate and gather information

Nice-to-have

  • Energetic culture
  • Innovative customer-facing solutions
  • Global network of experts
  • Professional development opportunities
  • Flexibility and autonomy

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