Jobs at Sedgwick

Participate in a 4-week claims training program, then assist in adjusting workers' compensation claims under supervision. Investigate claims, gather medical/employer information, determine coverage and compensability, communicate with claimants and providers, document files, administer benefits, maintain compliance, and attend meetings and reviews. Mentor and manager support provided for career growth.

Design and deliver training programs for claims management systems and California workers' compensation; consult with stakeholders to identify needs; develop, update, and evaluate curricula and materials; train instructors and deliver courses (classroom and online); create assessments, reports, and recommendations; maintain product and regulatory knowledge; support Sedgwick University and travel as required.

Manage operational and technical functions for assigned claims offices, ensuring compliance with standards and regulations, staffing and training, budget/P&L management, performance monitoring, and coordination with sales/client service. Lead and develop a team of 25-49 colleagues to deliver quality workers' compensation claims services.

Analyze and adjudicate complex workers' compensation claims, manage litigation and vendor coordination, calculate reserves and benefits, negotiate settlements, ensure regulatory filings and cost containment, and maintain client communication and documentation.

Manage a portfolio of complex international aviation claims (hull, liability, cargo, ground handling) within delegated authority. Assess liability, coverage, reserves and settlements; negotiate outcomes; liaise with insurers, brokers, legal and aviation stakeholders; support audits; drive continuous improvement and maintain client relationships.

Analyze and adjudicate complex liability claims, investigate exposures, negotiate settlements within authority, manage litigation and subrogation, communicate with claimants, clients and excess carriers, and resolve claims per client and industry standards.

Calculate and recover employee benefit overpayments for disability and workers' compensation claims; perform manual calculations, coordinate recoveries, refer to collections, maintain quality control, conduct file reviews, and provide payroll administration for external payments.

Entry-level claims trainee completing a 4-week workers' compensation training program and onboarding. Under supervision, investigate and adjust WC claims, communicate with injured workers and providers, document files, determine coverage and benefits, maintain compliance, and participate in meetings and reviews. Mentorship and growth opportunities provided.

Entry-level claims trainee to complete a 4-week workers' compensation training program and onboard as a claims adjuster. Duties include investigating and documenting claims, communicating with injured workers, employers and medical providers, determining coverage and benefits, administering indemnity and medical benefits, and participating in meetings and reviews under close supervision.

Evaluate auto claims involving injured parties and manage PIP/medical payment benefits. Review policies and medical records, assess treatment and bills, investigate potential fraud, set and adjust reserves, document claim activity, communicate with claimants, providers, attorneys, and vendors, negotiate claim resolutions, and issue payments within authority.

Provide evidence-based utilization review and treatment utilization management for injured employees. Perform clinical assessments from medical records, evaluate treatment necessity and alternatives, collaborate with physicians, claims examiners and clients, negotiate appropriate care levels, ensure regulatory and confidentiality compliance, and act as a clinical resource.

Assess medically supported work restrictions, negotiate and facilitate return-to-work and accommodations with employers, providers, and claimants, document placements and follow progress, and assist case management with client competence decisions.

Lead regional claims operations, ensuring compliance, quality service delivery, staffing, training, budget and P&L management for multiple offices. Oversee performance, implement policies, support sales coordination, and develop staff including succession planning for 100-299 colleagues.

Lead growth of Sedgwick's Brand Protection and Recall Solutions in Australia by identifying and closing new opportunities, building strategic client relationships, managing pipeline and CRM, representing the company at industry events, and coordinating with global and operational teams to deliver recall preparedness, response, and remediation solutions.

Participate in a 4-week claims training program and onboarding, then handle workers' compensation claims under supervision: process correspondence, communicate with claimants and providers, investigate facts and coverage, document files, administer benefits, maintain calendared actions, and take part in meetings and reviews.

Entry-level workers' compensation claims trainee who completes a four-week training program and onboarding, then handles claims under close supervision. Responsibilities include investigating claims, communicating with injured workers and providers, determining coverage and benefits, documenting files, administering indemnity and medical benefits, and participating in meetings and reviews.

Entry-level trainee in a workers' compensation claims training program. Attend a 4-week classroom onboarding, then adjust claims under close supervision: process mail/emails, contact injured workers and providers, gather records, investigate compensability and coverage, administer indemnity and medical benefits, document files, maintain calendared actions, and participate in training and claim reviews.

Entry-level claims trainee to complete a 4-week training and onboarding program, then adjust workers' compensation claims under close supervision. Responsibilities include investigating claims, gathering medical and employer information, determining coverage and compensability, administering benefits, documenting files, coding activity, and communicating with injured workers, employers, medical providers, attorneys and carriers.

Adjudicate low-level workers' compensation claims: determine compensability and benefits, monitor reserves, develop action plans, approve claim payments, file required state documentation, identify subrogation, negotiate settlements, and support return-to-work efforts.

Supervise California workers' compensation examiners for a dedicated client: manage workloads, train staff, provide jurisdictional and technical claims guidance, perform quality reviews and reserve evaluations, handle escalations and litigated or high-exposure claims, and identify process improvements while maintaining client relationships and accurate documentation.