OFFICE LOCATION: Orange, CA
PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
ADDITIONAL FUNCTIONS AND RESPONSIBILITIES
QUALIFICATIONS
Education & Licensing
Bachelor's degree from an accredited college or university preferred.
Experience
Three (3) years of claims management experience or equivalent combination of education and experience required.
Licensing / Jurisdiction Knowledge: California workers' compensation claims experience required | SIP Preferred
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: 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; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $65,000 - $85,000/yr. A comprehensive benefits package is offered including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
Claims Adjuster - Workers Compensation • Orange, CA, United States
Job Description:Our client is looking to expand their Workers' Compensation Department and seeking to add Workers' Compensation Claims Adjusters to their California operations.These positions would... Show more
HR Specialist - Workers Compensation/Risk.Hourly Level Experienced Job Shift Day Education Level 2 Year Degree.Workers' Compensation Specialist.The Workers' Compensation Specialist plays a vital ro... Show more
Workers' Compensation Claims SupervisorWe're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team in Orange, CA.As a Supervisor, you'll lead a team of 8, in... Show more
Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for a... Show more
Property Claims Field Adjuster.If you're passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury ... Show more
Orange, California, United States.Essential Duties and Responsibilities:.Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision an... Show more
AnnuallyLocation : City of Anaheim, CAJob Type: Both Full and Part TimeJob Number: 2026-00049Department: Human ResourcesOpening Date: 02/27/2026DescriptionThe City of Anaheim is seeking motivated, ... Show more
Claims Adjuster - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more
Senior Claims Manager - Employment Practice Liability - Fully Remote.Providence is seeking a Senior Claims Manager - Employment Practice Liability ("EPL") for this remote position.The purpose of th... Show more
Huntington Beach Office - Huntington Beach, CA 92647.Salary Position Type Full Time.Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fa... Show more
Experience: Job-related experience is desired.Education: High school diploma or equivalent required.Noon Duty Aides work 5 to 6 hours a week.Applicants who need reasonable accommodation for intervi... Show more
Location: Pasadena, CA (Hybrid considered after training once performance expectations are consistently met) Schedule: Monday Friday, 8 am 5 pm Pay Rate: Up to $34.Position Overview: A healthcare... Show more
Claims AssistantsThe City of Anaheim is seeking motivated, detail-oriented individuals to join our Risk Management Division as Claims Assistants.We currently have openings in both the General Liabi... Show more
You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something... Show more
Claims Examiner - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more
Claims Examiner - Workers Compensation.Location: Brea, CA REMOTE Duration: 2-3 months.To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work wit... Show more
This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance ... Show more
Complex Workers Compensation Investigator.Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of complex workers compensation cases o... Show more
Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and benefits under moderate supervisory direction.Adju... Show more
The Director of Claims will provide strategic leadership for all Medicare Advantage claims operations, ensuring accurate, timely, and compliant claims adjudication while driving operational excelle... Show more
