Workers Compensation Claims Adjuster

4 weeks ago


San Diego, California, United States Sedgwick Full time

Job Summary

Sedgwick is seeking a highly skilled Workers Compensation Claims Adjuster to join our team. As a Claims Professional, you will be responsible for analyzing and resolving workers compensation claims in a timely and efficient manner.

Key Responsibilities

  • Analyze and determine compensability and benefits due on long-term indemnity claims
  • Develop and manage claims action plans to resolution, coordinating return-to-work efforts and approving claim payments
  • Manage subrogation of claims and negotiate settlements
  • Communicate claim actions with claimants and clients
  • Ensure claim files are properly documented and claims coding is correct

Requirements

  • Bachelor's degree from an accredited college or university preferred
  • Four (4) years of claims management experience or equivalent combination of education and experience required
  • Excellent oral and written communication skills, including presentation skills
  • PC literate, including Microsoft Office products
  • Strong analytical and interpretive skills
  • Ability to work in a team environment

Work Environment

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. We offer a comprehensive benefits package, including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

About Sedgwick

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. We help our clients regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our team of over 30,000 colleagues across 80 countries is committed to doing the right thing and making a positive impact on the world.



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