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Sedgwick Claims Management Services

Claims management and risk solutions provider

Workers Compensation Claims Adjuster

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeOntario, CA, USA

About the Job

Requirements

  • Four years of claims management experience or an equivalent combination of education and experience is required.
  • A high school diploma or GED is required.
  • Experience handling California workers' compensation claims is required.
  • A bachelor's degree from an accredited college or university is preferred.
  • Professional certification applicable to the line of business is preferred.
  • SIP certification is preferred.
  • Ability to think clearly and conceptually, exercise judgment and discretion, troubleshoot, solve problems, and analyze information.
  • Ability to handle work-related stress and multiple priorities simultaneously, and meet deadlines.
  • Ability to perform computer keyboarding and to hear, see, and speak.

Responsibilities

  • Analyze workers' compensation claims on behalf of clients to determine benefits due while ensuring ongoing adjudication meets service expectations, industry best practices, and client service requirements.
  • Analyze and process claims through well-developed action plans toward appropriate and timely resolution by investigating and gathering information to determine claim exposure.
  • Negotiate claim settlements within designated authority.
  • Communicate claim activity and processing with claimants and clients.
  • Report claims to the excess carrier and respond to requests for directions professionally and promptly.
  • Travel as required.

Desired Qualifications

  • Professional certification applicable to the line of business.
  • SIP certification.

About the Company

Sedgwick Claims Management Services

Claims management and risk solutions provider

Sedgwick manages claims and risk for insurers, corporations, and public entities. Its services cover the full claims lifecycle, including clinical case management, networks, and cost-containment programs, plus specialized work like home inspections and property appraisals. The company operates by charging fees for these managed services that coordinate medical care, assess losses, and support timely resolution. Sedgwick differentiates itself through its integrated, end-to-end approach to claims management and its strong emphasis on caring for people, DEI, and client outcomes. Its goal is to help clients resolve claims efficiently, restore property and brands, and reduce costs through targeted resources deployed at the right time to improve outcomes.

Company size
10,001+
Company stage
Growth Equity (Non-Venture Capital)
Total funding
$1.5B
Headquarters
Memphis, TN
Founded
1969

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