Jobs at Sedgwick

Examines and adjudicates California workers compensation claims by investigating exposures, determining benefits, developing action plans, negotiating settlements, communicating with claimants and clients, and reporting claims to excess carriers. Requires at least three years of claims management experience and California workers compensation jurisdiction knowledge, plus an SIP certification or the ability to obtain it within one year.

Examines and manages complex California workers’ compensation claims, including investigation, benefit determination, reserve calculations, payments, litigation, settlement negotiation, statutory filings, subrogation, and excess carrier reporting. Ensures claims are adjudicated accurately, timely, and within service and regulatory requirements.

Adjudicates California workers compensation claims by investigating exposures, determining benefits, negotiating settlements, communicating with claimants and clients, and reporting claims to excess carriers. The role requires timely claim resolution, adherence to service standards, and strong knowledge of California workers compensation jurisdiction. It is based in Brea, California, with remote options available.

Processes low-level workers compensation claims, determines compensability and benefits, monitors reserves, files required documentation, coordinates action plans and return-to-work efforts, approves payments, and identifies subrogation opportunities. The role administers claims through resolution, negotiates settlements with general supervision, supports quality programs, and performs related duties in an on-site Glendale, California environment.

Adjudicate complex California workers' compensation claims including litigated and high-exposure matters. Investigate claims, determine benefits, set reserves, negotiate settlements, manage litigation and regulatory filings, and ensure timely, cost-effective resolution per client and statutory requirements.

Analyze and adjudicate California workers compensation claims by investigating exposures, determining benefits, developing action plans, negotiating settlements, communicating with claimants and clients, and reporting claims to excess carriers. The role requires at least three years of claims management experience and California workers compensation jurisdiction knowledge, with SIP certification required or obtainable within one year.

Analyze and adjudicate California workers' compensation claims: investigate exposures, determine benefits, negotiate settlements within authority, communicate with claimants and clients, report to excess carriers, and meet service and client requirements.

Manage and adjudicate complex workers' compensation claims, including investigation, negotiation, settlement, litigation and rehabilitation coordination. Communicate with claimants, clients, and excess carriers, meet service expectations, and ensure SIP licensing and California jurisdiction compliance.

Adjudicate California workers' compensation claims by investigating exposures, negotiating settlements, communicating with claimants, clients, and carriers, and resolving claims within service expectations and client requirements.

Analyze and adjudicate complex California workers' compensation claims, manage litigation and vendor referrals, calculate reserves and benefits, negotiate settlements, handle subrogation and recoveries, ensure timely payments and statutory filings, maintain accurate claim documentation, and communicate with claimants, clients, and excess carriers.

Adjudicate complex California workers' compensation claims by investigating exposures, negotiating settlements, communicating with claimants/clients, reporting to excess carriers, identifying subrogation, and managing litigation and rehabilitation matters while meeting client service and industry standards.

Manage high-end general liability litigation claims: review files, develop defense and settlement strategies, coordinate local counsel and investigations, attend mediations/trials, authorize expenses, and pursue subrogation to resolve complex claims.

Own and enhance ServiceNow HRSD modules and the Employee Center. Design solutions, configure workflows and Flow Designer automations, troubleshoot complex issues, and make independent configuration decisions to improve HR service delivery.

Adjudicate California workers' compensation claims: investigate, analyze exposure, negotiate settlements within authority, communicate with claimants and clients, report to excess carriers, and meet service expectations and licensing requirements.