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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Workers Compensation claims management, including investigation, negotiation, and resolution of claims. Proficient in delivering customer-facing solutions and managing multiple priorities in a fast-paced environment.
Highest-signal resume keywords
Claims Management ExperienceCalifornia Workers Compensation Jurisdictional KnowledgeSIP CertificationProblem SolvingCustomer-Facing Solutions
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisClaims AdjudicationNegotiationInformation GatheringAction Plan Development
Soft Skills
Excellent JudgmentClear ThinkingDiscretionAbility to Handle StressAbility to Meet Deadlines
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
SIP CertificationProfessional Certification
Industry Keywords
Workers CompensationClaims ProcessingClaim SettlementsExcess Carrier ReportingClient Communication
About the role
Key responsibilities & impact- Analyze and process Workers Compensation claims through action plans to timely resolution
- Investigate and gather 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
- Respond to requests for directions professionally and timely
- Adjudicate complex workers compensation claims on behalf of clients
- Deliver customer-facing solutions to clients across industries
- Leverage Sedgwick’s global network of experts to learn and share insights
Requirements
What you’ll need- 3 years of claims management experience or equivalent combination of education and experience required
- High School Diploma or GED required
- 3 or more years California workers compensation jurisdictional knowledge required
- SIP required or must be obtained within one (1) year of employment
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- 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
- Ability to meet deadlines
- Computer keyboarding
- Hearing, vision and talking
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Career development and promotional growth opportunities
- Diverse and comprehensive benefits offering including medical, dental, vision, 401K on day one
- 401k and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
- Remote work options may be available
- Reasonable accommodations when applicable and appropriate