Workers Compensation Claims Examiner | Orange, CA

Are you lookingfor an opportunity to join a global industry leader where you can bring yourbig ideasto help solve problems for some of the worlds best brands

Apply your knowledge and experience toadjudicatecomplex workers compensation claims in the context of an energetic culture.

Deliver innovative customer-facing solutions to clients whorepresentvirtually everyindustry andcomprisesome of the worlds most respected organizations.

Be a part of a rapidly growing industry-leading global company known for its excellence and customer service.

Leverage Sedgwicks 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 physicalfinancialand professional needs.

ARE YOU AN IDEAL CANDIDATESeeking a seasoned California Workers Compensation Examiner who values strong client partnerships enjoys a reasonable caseload and works within a wellmanaged intake environment.

OFFICE LOCATION: Orange CA

PRIMARY PURPOSE OF THE ROLE:To analyzeWorkers Compensationclaims on behalf of our valued clients todeterminebenefits 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 toan appropriateandtimelyresolution by investigating and gathering information todeterminethe 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 andtimelymanner.

QUALIFICATIONS

Education & Licensing: 3 years of claims management experience or equivalent combination of education and experiencerequired.

High School Diploma or GEDrequired. Bachelors degree from an accredited college or university preferred.

Professional certification as applicable to line of business preferred.

Licensing / Jurisdiction Knowledge:3 or more years California workers compensation jurisdictional knowledge required SIP required or must be obtained within one (1) year of employment

TAKING CARE OF YOU

Flexibleworkschedule.

Referralincentiveprogram.

Career development and promotional growth opportunities.

Diverse and comprehensive benefits offering including medical dental vision 401K on dayone.

WORK ENVIRONMENT REQUIREMENTSINCLUDE
When applicable and appropriate consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment troubleshooting problem solving analysis and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding

Auditory/Visual: Hearing vision and talking

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 $85-100K. 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 other additional voluntary benefits.

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 are not intended to constitute a comprehensive list of functions duties or local retains the discretion to add or to change the duties of the position at any time.

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