Jobs at Sedgwick

Provides telephonic clinical case management for injured workers by assessing medical and psychosocial needs, coordinating treatment, communicating with stakeholders, resolving barriers to recovery, and supporting timely return to work while maintaining regulatory and ethical standards.

Performs return-to-work assessments, coordinates accommodations and alternative work plans, gathers medical and claims information, supports injured workers and related stakeholders, resolves workers’ compensation cases, and maintains accurate claims records. Provides customer support, follows state workers’ compensation policies, enters data into claims systems, and meets quality assurance standards.

Adjudicate complex California workers' compensation claims end-to-end: investigate, determine benefits, calculate reserves, negotiate settlements, manage litigation and filings, report to excess carriers, and ensure timely, compliant claim resolution.

Provides customer service and internal support while managing workers’ compensation claim caseloads under supervision. Responsibilities include collecting and documenting claim data, coordinating treatment services, verifying return-to-work status, communicating with claim parties, and maintaining compliance with workers’ compensation rules and company procedures. The role includes structured training, mentorship, and career development opportunities.

Handles property and casualty insurance claims valued up to $15,000. Reviews policies and documentation, investigates losses, assesses damages, estimates costs, negotiates settlements, issues payments, maintains reserves, prepares reports, and manages regulatory filings. The role also involves claimant and witness communications, litigation support, salvage and subrogation activities, technology-enabled case management, and escalation of claims exceeding assigned authority.

Evaluates auto claims involving injured parties and manages first-party medical treatment under PIP and medical payment coverage. Reviews policy language, medical records, treatment, bills, coverage eligibility, fraud indicators, claim exposures, and reserves. Documents claim activity, communicates with claimants, providers, attorneys, clients, and vendors, negotiates claim resolutions, and issues authorized payments. Requires a state adjuster license and experience with PIP, medical payments, workers compensation, or related claims.

Analyzes and adjudicates lost-time workers compensation claims by investigating exposure, determining benefits, developing action plans, negotiating settlements, and communicating claim activity with claimants, clients, and excess carriers. The role requires timely resolution, sound judgment, regulatory and client service compliance, and effective management of multiple priorities. It is remote and offers professional development and benefits.

Administer and analyze leave requests (FMLA, state, military, company-specific), determine eligibility and benefits per client plans and regulations, communicate decisions to claimants and clients, track documentation, and meet quality and service standards.

Processes payroll actions resulting from leave and disability status changes, accurately enters absence and payroll data, reviews claim and timecard reports, and balances records according to paid-time-off policies. Responds to HR and internal business partner inquiries, supports absence program evaluation, contributes to special projects, and maintains data integrity and quality standards.

Adjudicate complex California workers' compensation claims, manage high-exposure/litigation cases, negotiate settlements, calculate reserves and benefits, coordinate vendors, pursue recoveries/subrogation, ensure proper documentation and timely statutory filings while maintaining client and claimant communications.

Design structural repair and sub-structure schemes for buildings damaged by fire, flooding, and subsidence. Produce detailed CAD drawings, specifications, and permission documentation; support listed-building projects; develop sustainable and net-zero repair solutions; engage senior stakeholders; visit sites to monitor construction; and share technical knowledge with colleagues.

Processes low-level workers compensation claims, determines compensability and benefits, monitors reserves, files required documentation, coordinates action plans and return-to-work efforts, approves payments, and identifies subrogation opportunities. The role administers claims through resolution, negotiates settlements with general supervision, supports quality programs, and performs related duties in an on-site Glendale, California environment.

Adjusts and adjudicates lower-level medical-only and minor lost-time workers compensation claims under supervision. Determines compensability and benefits, monitors reserves, submits required state documentation, communicates with claimants, clients, and medical contacts, and maintains accurate claim files and coding. May process routine payments, prescriptions, and status reports while supporting senior claims representatives with complex claims.

Analyzes and adjudicates workers compensation claims, investigates exposures, determines benefits, negotiates settlements, communicates with claimants and clients, and reports claims to excess carriers. The role requires California workers compensation jurisdictional knowledge, timely claim resolution, sound judgment, and compliance with service and client requirements.

Oversee technical and operational functions for assigned claims clients, ensuring compliance, quality service delivery, audit readiness, and adherence to claims policies and regulations. Develop business plans, manage client relationships, oversee staffing and training, and prepare budgets and profit-and-loss reports. Lead hiring, performance management, colleague development, and operational quality reviews while managing fewer than 25 colleagues.

Oversee technical and operational claims functions, ensuring compliance, quality, client relationships, staffing, training, budgeting and P&L for assigned clients. Manage internal quality reviews, enforce policies, hire and develop team members, and support organizational quality programs.

Provides administrative and clerical support to claims staff by entering new claims, updating notes and diaries, processing payments and mail, preparing correspondence and reports, arranging medical appointments, answering calls, and delivering customer service. Requires accurate computer work, organization, discretion, multitasking, and deadline management. Supports quality programs and completes additional assigned projects and office duties.

Leads client service and account management for complex insurance programs, with emphasis on client retention, satisfaction, revenue growth, renewals, reporting, and cross-selling. Oversees service plans, resolves major issues, coordinates billing and audits, negotiates improvements, and directs internal teams. Supervises client services personnel, supports hiring and performance development, and ensures quality and compliance. Workers’ compensation, general liability, or auto claims experience is required.

Processes low-level workers compensation claims, determines compensability and benefits, monitors reserves, files state documentation, coordinates return-to-work plans, approves payments, identifies subrogation opportunities, and negotiates settlements under general supervision. The role is fully on-site in Ontario, California and requires claims management experience or equivalent training.

Facilitates successful return-to-work and workplace accommodation for disability claimants. Determines medically supported restrictions, negotiates with employers, providers, and claimants, documents accommodations, evaluates job demands, recommends adaptive equipment, and monitors post-placement progress. The role also supports transitions from medical case management to job placement while complying with medical, legal, jurisdictional, and accreditation requirements.