Top 17 Claims examiner Jobs in Roseville Ca

Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
5d
Workers Compensation Claims Examiner | CA Claims Exp. Required
Sedgwick —Roseville, CA
- Hybrid work
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
Workers Compensation Claims Examiner | Roseville, CA
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- Customer service
- Bachelor's degree
- Fair chance
- Health savings account
- Disability insurance
4d
Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote
Sedgwick —Roseville, CA
- Hybrid work
- 5 years
- Office
- Bachelor's degree
- Health savings account
- Disability insurance
Claims Examiner - Auto Liability - Commercial Trucking
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
5d
Claims Examiner - Workers Comp (Hybird Roseville, CA)
Sedgwick —Roseville, CA
- 5 years
- Computer literacy
- Writing skills
- Health savings account
- Disability insurance
Appeals Examiner - West Sacramento, CA
Gainwell Technologies —West Sacramento, CA
- $37,500 - $53,500 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Travel reimbursement
- Profit sharing
Sr Claim Examiner-WC (CA)
Broadspire Services, Inc. —Folsom, CA
- Full-time
- Hybrid work
- Analysis skills
- Bachelor's degree
- Mentoring
- Paid parental leave
- Health savings account
Quick Apply
Examiner Nurse Practitioner - Travel
Loyal Source Government Services —California
- $133,120 - $163,120 a year
- Travel nursing
- Nursing
- Military
- Certified Nurse Practitioner
Quick Apply
Examiner Nurse Practitioner
Loyal Source Government Services —Rocklin, CA
- $149,572 - $179,572 a year
- Monday to Friday
- Microsoft Word
- Nursing
- Microsoft Outlook
Quick Apply
Examiner Physician Assistant
Loyal Source Government Services —Rocklin, CA
- $64.69 an hour
- Monday to Friday
- Microsoft Word
- Microsoft Outlook
- Military
Quick Apply

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Account Examiner 2 - (PN: 20067987)
State of Ohio - Workers' Compensation —Columbus, OH
Provide customer service by handling Other States Coverage phone calls and emails regarding program requirements, assisting with Acord forms, creating…
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claims examiner jobs near roseville ca

Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)

Sedgwick -
Roseville, CA

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Job Details

Full-time
5 days ago

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Flexible schedule
Life insurance
Referral program

Qualifications

Customer communication
Workers' compensation insurance knowledge
High school diploma or GED
Insurance (Financial sectors)

Full Job Description

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

Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)

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 : 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

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

Experience
Five (5) years of California Workers Compensation 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: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of start date.

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.

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.

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 $80,000 - $100,000 per year . 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.

#Claims #ClaimsExaminer #Hybrid #Remote

Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.

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.

Apply Now

Refine Your Search

claims examiner jobs in roseville ca

Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)

Workers Compensation Claims Examiner | CA Claims Exp. Required

Workers Compensation Claims Examiner | Roseville, CA

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

Claims Examiner - Auto Liability - Commercial Trucking

Claims Examiner - Workers Comp (Hybird Roseville, CA)

Appeals Examiner - West Sacramento, CA

Sr Claim Examiner-WC (CA)

Examiner Nurse Practitioner - Travel

Examiner Nurse Practitioner

Examiner Physician Assistant

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