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Sedgwick
Sedgwick
H1B Visa SponsorConstructionConsultingHealthcare
Sedgwick provides technology-enabled risk, benefits, and integrated business solutions for organizations worldwide. Its work includes administering accident, health, disability, unemployment compensation, and liability claims, alongside building consulting, forensic accounting, forensic engineering, property restoration, brand protection, and loss prevention services. Sedgwick supports clients across industries including construction, consulting, healthcare, agriculture, and environmental services, with a stated focus on diversity, equity, inclusion, and environmental, social, and governance practices.
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California Workers' Compensation Claims Examiner I — Sedgwick

Handle California workers’ compensation claims for Sedgwick, from investigating claim exposure to negotiating settlements. The role also includes communicating claim progress with claimants and clients.

USUnited StatesCACalifornia
$60,234 – $95,000 / year
RemoteFull-timeMiddleSeniorEnglish RequiredClaims Specialist

Description

  • Review workers’ compensation claims to determine benefits owed to clients.
  • Adjudicate claims in line with service expectations, industry practices, and client requirements.
  • Process claims using action plans to reach timely resolutions.
  • Investigate claims and gather information to assess exposure.
  • Negotiate settlements within assigned authority.
  • Keep claimants and clients informed about claim activity and processing.
  • Report claims to the excess carrier.
  • Respond promptly and professionally to requests for direction.
  • Learn and share insights through Sedgwick’s global expert network.
  • Provide customer-facing solutions to clients across industries.

Requirements

  • Bring five years of claims management experience, or an equivalent combination of education and experience.
  • Hold a high school diploma or GED.
  • A bachelor’s degree from an accredited college or university is preferred.
  • Relevant professional certification is preferred where applicable to the line of business.
  • Have workers’ compensation claims examination knowledge and experience.
  • Know California jurisdiction requirements and licensing.
  • Be able to analyze and process claims.
  • Be able to investigate claims and gather information to assess exposure.
  • Be able to negotiate settlements within assigned authority.
  • Be able to communicate claim activity and processing with claimants and clients.
  • Be able to report claims to the excess carrier and respond to requests for direction.
  • Have computer keyboarding skills.
  • Have hearing, vision, and speaking abilities.
  • Be able to think clearly and conceptually.
  • Use sound judgment and discretion.
  • Be able to meet deadlines.

Benefits

  • Flexible work schedule.
  • Employee referral incentive program.
  • Opportunity to work in an agile environment.
  • Career development and advancement opportunities.
  • Medical, dental, and vision insurance.
  • 401(k) plan with matching.
  • Paid time off.
  • Disability and life insurance.
  • Employee assistance program.
  • Flexible spending or health savings account.
  • Additional voluntary benefits.
  • Flexible, autonomous choices about daily work, location, and career path.
  • Professional development opportunities.

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