Jobs at Sedgwick

Provide clerical support to workers' compensation claims staff: set up and enter new claims, update notes/diaries, process payments and mail, prepare correspondence and reports, schedule appointments, answer calls, and perform general office duties.

Review, investigate, and adjudicate California workers' compensation claims to determine benefits due. Communicate with claimants, clients, and carriers, negotiate settlements within authority, and meet service and reporting requirements.

Manage daily operations of a Canadian Workers' Compensation claims team, ensuring compliant, timely adjudication and cost containment. Oversee KPIs, inventory, escalations, stakeholder relationships, hiring, coaching, training, and process improvements using data analytics and automation to drive efficiency and reduce claim costs.

Provide clerical support to workers' compensation claims staff: enter and maintain claims in systems, process payments and mail, schedule appointments, prepare correspondence and reports, answer phones, and perform other administrative tasks to support client programs.

Adjudicate low-level workers' compensation claims under supervision, processing medical-only and minor lost-time claims. Determine compensability and benefits, monitor reserves, file state documentation, communicate with claimants/clients/medical contacts, document files accurately, process routine payments/prescriptions, and support quality programs and other claims staff as needed.

Analyze and manage complex workers' compensation claims from investigation through settlement. Determine benefits, calculate reserves and payments, negotiate settlements, manage litigation and subrogation, coordinate return-to-work and vendors, ensure regulatory filings and accurate claim documentation, and maintain client communications and service standards.

Analyze and adjudicate low-level workers' compensation claims, determine compensability and benefits, document files, communicate with claimants/clients, process routine payments/prescriptions, and support examiners and quality programs.

Adjudicate California workers' compensation claims by investigating, analyzing exposure, negotiating settlements within authority, communicating with claimants/clients, reporting to excess carriers, and resolving claims within service standards and client requirements.

Ensure quality and regulatory compliance for California workers' compensation claims. Review and analyze claim processes and reports, design training and technical materials, support audits and regulatory interactions, advise on claim strategy, support compliance projects and communications, and collaborate with internal teams to mitigate legal and financial exposure.

Entry-level trainee role completing a 4-week claims training program and onboarding to adjust workers' compensation claims under supervision. Responsibilities include processing claim documents, communicating with injured workers, employers, medical providers and attorneys, investigating claims and coverage, documenting files, administering indemnity and medical benefits, maintaining calendared actions for state compliance, and participating in trainings and claim reviews.