Sedgwick
Sedgwick
Sedgwick бүкіл әлемдегі ұйымдарға технологияға негізделген тәуекелдерді басқару, қызметкерлерге берілетін жеңілдіктер және интеграцияланған бизнес шешімдерін ұсынады. Компания жазатайым оқиға, денсаулық, еңбекке жарамсыздық, жұмыссыздық бойынша өтемақы және жауапкершілік талаптарын реттеумен қатар, консалтинг, сот-бухгалтерлік сараптама, сот-инженерлік сараптама, мүлікті қалпына келтіру, брендті қорғау және шығындардың алдын алу қызметтерін дамытады. Sedgwick құрылыс, консалтинг, денсаулық сақтау, ауыл шаруашылығы және қоршаған ортаны қорғау қызметтері сияқты салалардағы клиенттерге қолдау көрсетеді және әртүрлілікке, теңдікке, инклюзияға, сондай-ақ экологиялық, әлеуметтік және корпоративтік басқару тәжірибелеріне басымдық беретінін мәлімдейді.

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.

Сипаттама

  • 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.

Талаптар

  • 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.

Артықшылықтар

  • 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.

Ұқсас жұмыс орындары

Howden, A Chart Industries Company

Senior Construction Defect Claims Examiner (Remote, US)

Howden, A Chart Industries Company
5 001 – 10 000 Қызметкерлер
ӨндірісЭнергетика

Manage construction defect insurance claims for DUAL North America across residential and commercial projects. Assess coverage, negotiate settlements, and coordinate litigation.

Ашу
Howden, A Chart Industries Company

Senior Construction Defect Claims Examiner

Howden, A Chart Industries Company
5 001 – 10 000 Қызметкерлер
ӨндірісЭнергетика

Manage complex construction defect claims for DUAL North America, from liability investigations and coverage analysis through litigation and settlement. The role includes coordination with counsel, experts, carrier partners, and internal business teams.

Ашу
Pacific Life

Senior Long-Term Disability Claims Specialist

Pacific Life

Manage complex long-term disability claims for Pacific Life Insurance Company, from initial review through resolution. Make compliant decisions, develop return-to-work strategies, and support a considerate claimant experience.

Ашу
Howden, A Chart Industries Company

Senior Construction Defect Claims Examiner

Howden, A Chart Industries Company
5 001 – 10 000 Қызметкерлер
ӨндірісЭнергетика

Manage high-exposure residential and commercial construction defect claims for DUAL North America. Investigate liability, assess coverage, and coordinate litigation through resolution.

Ашу
Howden, A Chart Industries Company

Senior Casualty Claims Examiner, Construction Defect

Howden, A Chart Industries Company
5 001 – 10 000 Қызметкерлер
ӨндірісЭнергетика

Manage residential and commercial construction defect claims for DUAL North America, from coverage analysis through settlement and litigation coordination. The role is remote in the United States.

Ашу