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Remote Disability Examiner Jobs in California (NOW HIRING)

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Remote Disability Examiner information

What is the difference between Remote Disability Examiner vs Remote Medical Reviewer?

AspectRemote Disability ExaminerRemote Medical Reviewer
Required credentialsMedical license, clinical experienceMedical license, clinical experience
Work environmentConducts assessments, interviews, reviews medical recordsReviews medical documentation, evaluates reports
Employer & industry usageInsurance companies, government agenciesInsurance companies, government agencies
Common search intentAssess disability claims, evaluate patient conditionsVerify medical reports, ensure claim accuracy

Remote Disability Examiners and Remote Medical Reviewers both work within the insurance and government sectors, often requiring medical credentials. The key difference is that Disability Examiners conduct assessments and interviews with claimants, while Medical Reviewers evaluate existing medical documentation. Both roles involve remote work and serve similar industries, but their specific responsibilities differ.

What are the key skills and qualifications needed to thrive as a remote disability examiner?

To thrive as a Remote Disability Examiner, you need a strong background in medical terminology, case evaluation, and knowledge of disability laws, often supported by a relevant degree or experience in healthcare or social work. Familiarity with case management systems, electronic medical records (EMRs), and government databases is typically required. Excellent analytical skills, attention to detail, and clear written communication are crucial soft skills for assessing complex cases and documenting findings. These skills ensure accurate and timely disability determinations, maintain compliance, and support fair outcomes for claimants.

What are some common challenges faced by remote disability examiners, and how can they be effectively managed?

Remote Disability Examiners often face challenges such as managing large caseloads, staying updated with complex regulations, and ensuring effective communication with claimants, healthcare providers, and team members virtually. To address these, strong organizational skills, regular check-ins with supervisors, and leveraging digital collaboration tools are essential. Maintaining up-to-date knowledge of relevant laws and policies through ongoing training also helps ensure accurate and timely case decisions, even when working remotely.

What is a remote disability examiner?

Remote Disability Examiners are professionals who evaluate medical and non-medical information to determine whether individuals qualify for disability benefits, typically for programs like Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). They review medical records, work history, and other documentation to assess eligibility according to established guidelines. Working remotely, these examiners interact with claimants, healthcare providers, and government agencies primarily through digital platforms and phone communications. Their work is critical in ensuring that disability claims are processed accurately and efficiently, even when performed outside a traditional office setting.
What are popular job titles related to Remote Disability Examiner jobs in California? For Remote Disability Examiner jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Disability Examiner jobs in California look for? The top searched job categories for Remote Disability Examiner jobs in California are:
What cities in California are hiring for Remote Disability Examiner jobs? Cities in California with the most Remote Disability Examiner job openings:
Remote Disability Examiner jobs near you
Infographic showing various Remote Disability Examiner job openings in California as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 3% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Workers Compensation Claims Examiner | CA Claims Exp. Required

York Risk Services

Roseville, CA • On-site, Remote

$80K - $100K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Workers Compensation Claims Examiner | CA Claims Exp. Required

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

PRIMARY PURPOSE:To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
  • Negotiating settlement of claims within designated authority.
  • Communicating claim activity and processing with the claimant and the client.
  • Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

    QUALIFICATIONS

    Education & Licensing
    Bachelor'sdegree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

    Experience
    Five (5) years of California Workers Compensation claims management experience or equivalent combination of education and experience required.

    • High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
    • Professional certification as applicable to line of business preferred.

    Licensing / Jurisdiction Knowledge: California jurisdictional knowledge required; SIP required or must be obtained within one (1) year of start date.

    TAKING CARE OF YOU

    • Flexible work schedule.
    • Referral incentive program.
    • Career development and promotional growth opportunities.
    • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

    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

    NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

    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 $80,000 - $100,000 per year. 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.

    #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1

    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.

    Sedgwickis 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.

    Apply