Future Medical Claims Adjuster

Sedgwick

Concord, CA, United States
Base: $60 - $75,000 annually; bonus/equity: not sp...
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Workers compensation claims management
Determine benefits due
Identify subrogation
** Sedgwick is seeking a Future Medical Claims Adjuster to analyze and manage mid-level workers' compensation claims in their Concord, CA office. The ideal candidate should embody the company's core values of empathy, accountability, and collaboration, with at least four years of claims management experience. **

Job Summary

  • Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency.
  • Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments.
  • May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review.

Matching Summary

Match Score: 75

** Sedgwick is seeking a Future Medical Claims Adjuster to analyze and manage mid-level workers' compensation claims in their Concord, CA office. The ideal candidate should embody the company's core values of empathy, accountability, and collaboration, with at least four years of claims management experience. **

Salary

Base: $60 - $75,000 annually; Bonus/Equity: Not specified; Benefits: 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 management
  • determine benefits due
  • identify subrogation
  • negotiate settlements
  • return-to-work efforts

Nice-to-have

  • embody caring counts model
  • empathy, accountability, collaboration, growth, inclusion

Key Requirements

  • Four (4) years of claims management experience
  • Bachelor's degree preferred

Work Rights

Not specified

Tailored Resume

Cover Letter