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Claims Examiner Workers Compensation

Company: N/A

Location: Brea, CA

Pay: N/A

Contact Information


Name: Sedgwick Claims Management Services Inc
Phone: 7142585309
Fax: n/a
Apply Online

Job Description



Claims Examiner Workers Compensation

CLAIM YOUR FUTURE AS A GREAT PERFORMER!

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place for you. As the largest and most innovative Third Party Administrator in the claims industry and the first and only TPA to receive both recognition as the Best TPA in America and the coveted Employer of Choice designation, we invite you to come be a part of our team and, "Claim Your Future."

PRIMARY PURPOSE

: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES


ADDITIONAL FUNCTIONS and RESPONSIBILITIES

QUALIFICATION



Education & Licensing


Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience


Five (5) years of claims management experience or equivalent combination of education and experience required.

Skills & Knowledge


WORK ENVIRONMENT


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, travel as required

Auditory/Visual:

Hearing, vision and talking

NOTE

: Credit security clearance, confirmed via a background credit check, is required for this position.

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.

Sedgwick is an Equal Opportunity Employer

and a

Drug-Free Workplace

**Must currently meet the requirements for designation under AB1262, or have California Self-Insurers Certificate (SIP) or AB1262 California Experienced Examiner Designation. WCCA, WCCP preferred.

Claims Examiner Workers Compensation; Senior Claims Examiner; Claims Adjuster; Claims Representative; Claims Adjuster, Claims Examiner, Claims Representative, Claims Investigator, Claims Analyst, Claims Assistant, Insurance Claims, Claims, Insurance, Future medical, Future Med, Indemnity, loss of time, return to work


Job Requirements