Workers Compensation Claims Examiner | HYBRID | Brea, CA

Workers Compensation Claims Examiner – Brea, CA (Hybrid)

Primary Purpose of the Role:
To analyze Workers Compensation claims on behalf of clients, determine benefits due, and ensure adjudication within service expectations, industry best practices, and specific client service requirements.

• Analyzing and processing claims through well‑developed action plans to resolve claims on time, including investigating and gathering information.
• 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 request directions in a professional and timely manner.

• High School Diploma or GED required;
  Bachelor's preferred.
• Professional certification in line of business preferred.
• 5 years of claims management experience or equivalent education and experience.
• California workers' compensation claims handling experience; SIP certified preferred.

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• Diverse and comprehensive benefits including medical, dental, vision, 401(k) on day one.
• Competitive salary range $80,000–$105,000 per year (subject to location).

• Technical:
  Computer keyboarding.
• Auditory/Visual:
  Hearing, vision, talking.
• Mental:
  Clear conceptual thinking, judgment, problem solving, analysis, discretion, stress management, multitasking, meeting deadlines.

Sedgwick is an Equal Opportunity Employer and a Drug‑Free Workplace. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable Fair Chance ordinances.