Workers Compensation Claims Examiner Remote CA
Overview
Lead analysis of Workers Compensation claims for Sedgwick. Analyze claims to determine benefits due while ensuring ongoing adjudication within service expectations and industry best practices. Close with what makes this role different.
What You'll Do5
- 1Build action plans to resolve claims timely by investigating and gathering information
- 2Negotiate settlement of claims within designated authority
- 3Communicate claim activity and processing with claimants and clients
- 4Report claims to excess carriers and respond to direction requests professionally
- 5Own claim resolution processes from initial assessment to final disposition
Requirements6
- 14 years claims management experience or equivalent education and experience
- 2High School Diploma or GED required
- 3Bachelor's degree preferred
- 4Professional certification as applicable preferred
- 5California workers compensation jurisdictional knowledge required
- 6SIP license obtained within one year of employment
Salary Insight
Salary not disclosed in listing
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