Description
Workers' Compensation Claims Manager
Location: 1101 Creekside Ridge Dr Roseville CA 95678 United States
Contract: 9 months
Work: Hybrid - TBD Hiring manager
Schedule - as early as 7am (Flexible)
Sedgwick
Salary: 48.08hr | $100K Annual
Experience Required:
Minimum 5 years of claims management experience (or equivalent combination of education and experience).
Indemnity & litigation experience is a must
SIP certification preferred
Primary Purpose
The Workers' Compensation Claims Manager will analyze, manage, and resolve complex and high-exposure workers' compensation claims. This role involves litigation handling, benefit determination, subrogation identification, and settlement negotiation while ensuring compliance with industry best practices and client-specific requirements.
Essential Responsibilities
Analyze and process complex workers' compensation claims, gathering necessary information to assess exposure and determine benefits.
Develop and execute action plans for timely claim resolution.
Negotiate settlements within designated authority.
Assign and manage claim reserves throughout the claim's lifecycle.
Process claim payments, adjustments, and settlements efficiently.
Manage litigation, ensuring cost-effective and timely claim resolution.
Coordinate vendor referrals for investigation and litigation management.
Implement cost-containment strategies to reduce overall claim costs.
Manage claim recoveries, including subrogation, Second Injury Fund excess recoveries, and Social Security/Medicare offsets.
Report claims to the excess carrier and respond to inquiries professionally.
Maintain strong communication with claimants and clients to ensure transparency and satisfaction.
Ensure accurate documentation and coding for all claim files.
Refer cases to supervisors/management when necessary.
Additional Responsibilities
Participate in the organization's quality programs.
Perform other duties as assigned.
Travel as required.
Qualifications
Education & Licensing:
Bachelor's degree preferred.
Professional certification applicable to WC claims preferred.
Experience:
Minimum 5 years of claims management experience (or equivalent combination of education and experience).
10+ years of workers' compensation claims experience required.
Skills & Knowledge:
Strong knowledge of WC insurance principles, laws, and cost-containment strategies.
Excellent negotiation and analytical skills.
Proficiency in Microsoft Office Suite.
Ability to work independently and within a team environment.
Strong communication and interpersonal skills.
Attention to detail and ability to handle multiple priorities.
Work Environment
Mental: Requires strong analytical thinking, problem-solving, and decision-making skills. Must be able to work under pressure and meet deadlines.
Physical: Frequent computer use; some travel may be required.
Auditory/Visual: Requires good hearing, vision, and verbal communication skills.
Background Check: Credit security clearance via background credit check is required.
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
Why Kelly®
As a worker today, it's up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what's next is what we're all about. We know what's going on in the evolving world of work—just ask the 440,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.About Kelly
Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
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