Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring.
It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day.
It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career.
And it means working in an environment that celebrates diversity and is fair and inclusive.
A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here.
Join us and contribute to Sedgwick being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?
- Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights.
- Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
- Enjoy flexibility and autonomy in your daily work, your location, and your career path.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
This posting is a pipeline to include several Workers Compensation claims handling positions within the state of California.
Candidates will be considered based upon location & qualifications :
- Claims Adjusters & Examiners
- Claims Team Leads
OFFICE LOCATIONS (Hybrid & Onsite Roles Available)
Brea, CA - Must have SIP Certification & Covid-19 Vaccinated.
Concord, CA
Glendale, CA
Long Beach, CA
Ontario, CA
Orange, CA
Pasadena, CA
Rancho Cordova, CA
Rancho Cucamonga, CA
Riverside, CA
Roseville, CA
San Diego, CA
West Hills, CA
PRIMARY PURPOSE OF THE ROLE : To analyze California 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.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
- Managing claim recoveries if applicable.
- Negotiating settlement of claims within designated authority.
- Referring cases as appropriate to supervisor and management.
- Calculating and assigning timely and appropriate reserves to claims.
- Ensuring claim files are properly documented and claims coding is correct.
- Communicating claim activity and processing with the claimant and the client.
QUALIFICATIONS & LICENSING
Education / Experience : High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
Claims Adjusters & Examiners : 4+ years
Claims Team Leads : 6+ years claims industry experience and 2+ years of supervisory experience.
Licensing / Jurisdiction Knowledge : California jurisdiction experience. Licensed to handle claims in the state of CA required.
Brea, CA - Must have SIP Certification & Covid-19 Vaccination
TAKING CARE OF YOU
- Flexible Work Schedule
- Referral Incentive Program
- Career development and promotional growth opportunities
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day 1
claimsexaminer #claims #claimsteamlead
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
You may be just the right candidate for this or other roles.
(Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction
Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction. This posting is a pipeline to include several Workers Compensation claims handling positions within the state of California. To analyze California Workers Compensation claims on behalf of our valued clients to...
Workers' Compensation Claims Unit Manager - Must Reside in CA
Workers’ Compensation Claims Unit Manager. TPA with Growth Opportunities – Needs a Claims Unit Manager for our Workers’ Compensation Team. In the spirit of pay transparency, we are excited to share the base salary for the position of Workers’ Compensation Claims Unit Manager is $86,000 - $120,000, e...
Workers Compensation Claims Examiner | Dedicated Client | Remote to California Residents
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...
Workers’ Compensation Senior Claims Adjuster - California
Senior Workers’ Compensation Claims Adjuster. Reporting to the Claims Manager, you will be responsible for managing a diary system to ensure timely benefit administration and superior claims management. We deliver operations, consulting and technology solutions across the risk and insurance value ch...
Workers Compensation Claims Examiner
Our client is expanding their Workers' Compensation Department and seeking to add a Workers' Compensation Claims Adjusters to their California operation. This person would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Qualified candidates must...
Claims Adjuster - Workers Compensation - Ontario, CA - (Agile)
To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Manages workers compensation claims determining comp...
Sign On Bonus - Workers' Compensation Critical Claims Specialist - Southern CA
Under limited supervision, effectively evaluate and manage high exposure Workers Compensation claims including catastrophic loss, specified serious injury and other complex claims. Workers Compensation experience strongly preferred. Minimum of 5 years Workers Compensation experience. As part of our ...
Director, Workers Compensation-California
Conduct analysis of claims data to facilitate decisions on workers compensation claims program structure and TPA staffing, direction of program to achieve maximum results, and use of additional resources to augment TPA capabilities. Manage complex workers’ compensation (WC) claims and high-level str...
Claims Adjuster - Workers Compensation
Workers Compensation handling California Claims. Knowledge of California workers' compensation claim handling investigative techniques legal requirements and regulations. Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate analyze and determine the extent of insur...
Sr. Workers Compensation Analyst (California)
Must have extensive experience in CA workers’ compensation claims; additional experience in auto liability claims is also preferred. Manage medical only and lost time workers’ compensation claims to reduce costs and improve outcomes. Monitor, coordinate, and process workers compensation claims; rece...