Workers Compensation Claims Examiner | West Hills, CA (Remote 3 Days)
Sedgwick(1 month ago)
About this role
A Workers Compensation Claims Examiner at Sedgwick analyzes complex workers' compensation claims to determine benefits due and manage high-exposure cases involving litigation and rehabilitation. The role negotiates settlements, calculates reserves and payments, coordinates vendor referrals, and handles recoveries such as subrogation and offsets. The position supports client relationships and ensures claims are processed within service expectations and regulatory requirements.
Required Skills
- Claims Adjudication
- Litigation Management
- Negotiation
- Reserve Management
- Subrogation
- Cost Containment
- Medical Management
- Client Communication
- Analytical Skills
- Microsoft Office
Qualifications
- Bachelor's Degree
- Professional Certification (preferred)
- Credit Security Clearance
About Sedgwick
sedgwick.comSedgwick's tech-enabled risk, benefits, and integrated business solutions include comprehensive claims management and loss adjusting across industries.
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