Teams 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.