Talent.com
(Remote) Claims Examiner - Workers Compensation | CA Jurisdiction

(Remote) Claims Examiner - Workers Compensation | CA Jurisdiction

SedgwickArlington, TX, US
3 days ago
Job type
  • Full-time
  • Remote
Job description

Claims Examiner - Workers Compensation | Ca Jurisdiction

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 (Remote)

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • 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.

Are you an ideal candidate? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Primary purpose of the role : To analyze high-level California 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 responsibilities 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 : Must have experience handling California Workers Compensation Claims. License highly 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.
  • Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

    If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

    Create a job alert for this search

    Claim Examiner • Arlington, TX, US

    Related jobs
    • Promoted
    • New!
    Claims Examiner

    Claims Examiner

    Texas StaffingPlano, TX, US
    Full-time
    Remote Claims Processing Associate.NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role the candidate will be responsible for : .Pro...Show moreLast updated: 14 hours ago
    • Promoted
    Claims Examiner

    Claims Examiner

    Veterans StaffingPlano, TX, US
    Full-time
    Remote Claims Processing Associate.NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for : pr...Show moreLast updated: 25 days ago
    • Promoted
    Claims Examiner

    Claims Examiner

    NTT DATAPlano, TX, US
    Full-time
    Remote Claims Processing Associate.NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for : .Pr...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    CA WC Claims Specialist

    CA WC Claims Specialist

    CorVelArlington, TX, US
    Full-time
    The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...Show moreLast updated: 14 hours ago
    • Promoted
    Travel CT Tech - $2,504 per week in Cleburne, TX

    Travel CT Tech - $2,504 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Advantis Medical Staffing to find a qualified CT Tech in Cleburne, Texas, 76031!.Advantis Medical, the #1 rated travel nurse agency, is currently seeking an expe...Show moreLast updated: 1 day ago
    • Promoted
    Workers Compensation Claims Adjuster Senior, Indemnity

    Workers Compensation Claims Adjuster Senior, Indemnity

    CopperPoint Insurance CompaniesDallas, TX, US
    Full-time
    Workers' Compensation Claims Adjuster Senior, Indemnity.CopperPoint has an exciting opportunity for a fully remote Workers' Compensation Claims Adjuster Senior, Indemnity.The ideal candidate must p...Show moreLast updated: 3 days ago
    • Promoted
    Travel CT Tech - $2,546 per week in Cleburne, TX

    Travel CT Tech - $2,546 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Mindlance Health to find a qualified CT Tech in Cleburne, Texas, 76033!.ID : 73889352 Shift : NIGHTS - 10HR : Mon-Thur 830P-7A Description : GE Optima 64 slice Inpat...Show moreLast updated: 1 day ago
    • Promoted
    Travel CT Tech - $2,120 to $2,350 per week in Cleburne, TX

    Travel CT Tech - $2,120 to $2,350 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified CT Tech in Cleburne, Texas, 76033!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 2...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Travel CT Tech - $2,598 per week in Cleburne, TX

    Travel CT Tech - $2,598 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Medical Solutions to find a qualified CT Tech in Cleburne, Texas, 76033!.A facility in Cleburne, TX is seeking its next amazing CT Technologist (Computed Tomogra...Show moreLast updated: less than 1 hour ago
    • Promoted
    • New!
    Claims Examiner - Workers Compensation | Remote | Dedicated Client

    Claims Examiner - Workers Compensation | Remote | Dedicated Client

    Texas StaffingFort Worth, TX, US
    Remote
    Full-time
    Claims Examiner - Workers Compensation.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 ...Show moreLast updated: 2 hours ago
    • Promoted
    Travel CT Tech - $2,186 to $2,386 per week in Cleburne, TX

    Travel CT Tech - $2,186 to $2,386 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Ventura MedStaff to find a qualified CT Tech in Cleburne, Texas, 76033!.Are you ready to take your Travel career to the next level? See places you have not seen...Show moreLast updated: 1 day ago
    • Promoted
    Senior Claims Examiner

    Senior Claims Examiner

    Parkland Health and Hospital SystemDallas, TX, US
    Full-time
    Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.PCHP is a Medicaid Manage...Show moreLast updated: 30+ days ago
    • Promoted
    Travel CT Tech - $2,285 per week in Cleburne, TX

    Travel CT Tech - $2,285 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Triage Staffing LLC to find a qualified CT Tech in Cleburne, Texas, 76031!.Travel Radiology : CT Tech Cleburne. Shift Details : 10H Nights (12 : 00 AM-12 : 00 PM).Len...Show moreLast updated: 1 day ago
    • Promoted
    Travel CT Tech - $1,963 to $2,257 per week in Cleburne, TX

    Travel CT Tech - $1,963 to $2,257 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Fusion Medical Staffing to find a qualified CT Tech in Cleburne, Texas, 76033!.Fusion Medical Staffing is seeking a skilled CT Tech for a 13-week travel assignme...Show moreLast updated: 30+ days ago
    • Promoted
    Travel CT Tech - $2,354 to $2,507 per week in Cleburne, TX

    Travel CT Tech - $2,354 to $2,507 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Host Healthcare to find a qualified CT Tech in Cleburne, Texas, 76033!.Host Healthcare is an award-winning travel healthcare company with an immediate opening fo...Show moreLast updated: 1 day ago
    • Promoted
    Travel CT Tech - $1,965 to $2,153 per week in Cleburne, TX

    Travel CT Tech - $1,965 to $2,153 per week in Cleburne, TX

    AlliedTravelCareersCLEBURNE, TX, US
    Full-time
    AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified CT Tech in CLEBURNE, Texas, 76033!.Job Description & Requirements. Computed Tomography Technologist - (CT Tech) .Sta...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Travel CT Tech - $2,196 to $2,396 per week in Cleburne, TX

    Travel CT Tech - $2,196 to $2,396 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Titan Medical Group to find a qualified CT Tech in Cleburne, Texas, 76031!.ARRT(CT) / BCLS / BLS - American Heart Association. Titan Medical is looking for travelers ...Show moreLast updated: less than 1 hour ago
    • Promoted
    Travel CT Tech - $2,726 per week in Cleburne, TX

    Travel CT Tech - $2,726 per week in Cleburne, TX

    AlliedTravelCareersCleburne, TX, US
    Full-time
    AlliedTravelCareers is working with Coast Medical Service to find a qualified CT Tech in Cleburne, Texas, 76033!.Coast Medical Service is a nationwide travel nursing & allied healthcare staffin...Show moreLast updated: 1 day ago