Claims Adjuster analyzing mid - and higher - level workers compensation claims for Sedgwick. Ensuring accurate determination of benefits and managing claim settlements in a hybrid role.
About the role
- Claims Adjuster evaluating workers' compensation claims with Sedgwick, a leader in risk management. Analyzing claims, ensuring service expectations, and negotiating settlements within California jurisdiction.
Responsibilities
- To analyze workers' compensation claims on behalf of our valued clients to determine benefits due.
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
- Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution.
- Negotiating settlement of claims within designated authority.
- Communicating claim activity and processing with the claimant and the client.
- Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
Requirements
- 4 years of claims management experience or equivalent combination of education and experience required.
- High School Diploma or GED required.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- California workers' compensation claims handling experience | SIP certified preferred.
Benefits
- 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 one.
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