Workers Compensation Claims Examiner | Dedicated Account | Remote; Ontario, CA

Position: Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote (Ontario, CA)
## Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote (Ontario, CA)
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote (Ontario, CA)
* Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
* 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.

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
** OFFICE LOCATIONS
** Hybrid - Ontario, CA
** PRIMARY PURPOSE OF

THE ROLE:

** To analyze 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.
* 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.
** QUALIFICATIONS
* * Education & Licensing: 5 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.
** Licensing / Jurisdiction Knowledge:
California workers' compensation claims knowledge | SIP Certificate Preferred
**** 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 one.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000-$90,000/yr.

A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and…