Top 31 Workers' compensation claims examiner Jobs in Sacramento, Ca

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
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
Workers Compensation Claims Assistant
Acclamation Insurance Management Services —Sacramento, CA
- $43,000 - $45,000 a year
- Full-time
- Customer service
- Office
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply
Workers Compensation Claims Associate | Rancho Cordova, CA (Onsite)
Sedgwick —Rancho Cordova, CA
- Full-time
- Office
- High school diploma or GED
- Fair chance
- Health savings account
- Disability insurance
8d
Claims Assistant, Workers' Compensation
BETA HEALTHCARE GROUP RISK MANAGEMENT —Roseville, CA
- $26.67 - $29.74 an hour
- Full-time
- Hybrid work
- Word processing
- Mid-level
- Office
Quick Apply
13d
Claims Team Lead - Workers Compensation
Sedgwick —Roseville, CA
- Hybrid work
- Customer service
- 5 years
- Office
- Health savings account
- Disability insurance
Claims Examiner - Workers Comp (Hybird Roseville, CA)
Sedgwick —Roseville, CA
- 5 years
- Computer literacy
- Writing skills
- Health savings account
- Disability insurance
Workers' Compensation Claims Assistant
TRISTAR RISK MANAGEMENT —Rancho Cordova, CA
- $22 - $24 an hour
- Full-time
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,
Sedgwick —Roseville, CA
- Full-time
- Office
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
Senior Claims Specialist I, Workers Compensation - West Region
Liberty Mutual —Sacramento, CA
- $67,000 - $126,000 a year
- Full-time
- Office
- 3 years
- Bachelor's degree
3d
Claims Team Lead - Workers Compensation | CA Claims Exp. Required
Sedgwick —Roseville, CA
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Recruiting
- Health savings account
- Disability insurance
Claims Examiner Trainee (Spanish Fluency Preferred)
Berkshire Hathaway Homestate Companies —Sacramento, CA
- Hybrid work
- Spanish
- Writing skills
- Office
- Free parking
- AD&D insurance
Quick Apply
Clerical Assistant (Hybrid)
TRISTAR RISK MANAGEMENT —Rancho Cordova, CA
- $20 - $22 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Writing skills
- Basic math
- Paid holidays
- Disability insurance
Quick Apply
10d
Paralegal
Mullen & Filippi, LLP —Sacramento, CA
- $38 - $48 an hour
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
2d

More jobs to discover

Find similar jobs that you might be interested in.

Workers Compensation Claims Examiner | Long Beach or Roseville, CA (Hybrid)
Sedgwick —Roseville, CA
Professional certification as applicable to line of business preferred. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting,…
Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,
Sedgwick —Roseville, CA
Supervises multiple teams of examiners and technical operations colleagues, delegating duties as needed and ensuring proper licensing and documentation…

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Workers Compensation Claims Associate | Medical Only Experience | Entry Level | Hybrid Schedule - Dublin, OH
Sedgwick —Dublin, OH
Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state…
7d
Account Examiner 2 - (PN: 20067467)
State of Ohio - Workers' Compensation —Columbus, OH
There may also be possible cost of living adjustments (COLA) and longevity supplements begin after five (5) years of state service.
$23.65 an hour
1d

I want to receive the latest job alert for workers' compensation claims examiner in sacramento, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

workers' compensation claims examiner jobs near sacramento, ca

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

Sedgwick -
Roseville, CA

Apply Now

Job Details

Benefits

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

Qualifications

Customer communication

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 | San Diego or Roseville, CA

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.

OFFICE LOCATIONS
Roseville, CA (Hybrid - 2 days in office)

San Diego, CA (Hybrid - 2 days in office)

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

Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Prepares necessary state fillings within statutory limits.
Manages the litigation process; ensures timely and cost effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.

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.

Licensing / Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of employment.

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.

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 . 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 #LI-Hybrid #LI-Remote #LI-AM1

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

workers' compensation claims examiner jobs in sacramento, ca

Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote

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

Workers Compensation Claims Assistant

Workers Compensation Claims Associate | Rancho Cordova, CA (Onsite)

Claims Assistant, Workers' Compensation

Claims Team Lead - Workers Compensation

Claims Examiner - Workers Comp (Hybird Roseville, CA)

Workers' Compensation Claims Assistant

Workers Compensation Claims Team Lead | Roseville, CA or Long Beach, CA,

Senior Claims Specialist I, Workers Compensation - West Region

Claims Team Lead - Workers Compensation | CA Claims Exp. Required

Claims Examiner Trainee (Spanish Fluency Preferred)

Clerical Assistant (Hybrid)

Paralegal

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for workers' compensation claims examiner in sacramento, ca

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected