California Workers' Compensation Claims Examiner | Remote

Job Description

Job Description

Our client is seeking an experienced California Workers' Compensation Claims Examiner to join their growing Claims team. This is an excellent opportunity for a claims professional who thrives in a fast-paced, collaborative environment. The ideal candidate will have experience managing indemnity claims from inception through resolution while ensuring compliance with California Workers' Compensation laws and regulations. This is a fully remote, temp-to-perm opportunity.

Key Responsibilities:

• Manage a caseload of California Workers' Compensation claims from inception through resolution.
• Investigate claims, determine compensability, establish reserves, and develop appropriate claim strategies.
• Coordinate with injured workers, employers, attorneys, medical providers, and vocational professionals throughout the life of the claim.
• Review medical records, wage information, and legal documentation to evaluate claim exposure and determine appropriate benefits.
• Negotiate settlements and work closely with defense counsel on litigated claims.
• Maintain timely and accurate claim documentation within the claims management system.
• Ensure compliance with California Workers' Compensation statutes, regulations, and company claim handling guidelines.

Requirements:

• 5+ years of California Workers' Compensation Claims Examiner experience required.

• Strong knowledge of California Workers' Compensation laws, regulations, and benefit administration.

• Must reside in California

• Experience handling indemnity and litigated California Workers' Compensation claims.
• Excellent organizational, analytical, negotiation, and communication skills.
• Ability to independently manage a full caseload in a remote environment.
• Proficiency with claims management systems and Microsoft Office Suite.
• SIP certification preferred but not required.

Salary & Benefits:

• $45.00 – $55.00 per hour, depending on experience

• Fully remote work environment

• Medical, Dental, Vision, and 401(k) benefits available while on assignment

• Strong opportunity for permanent hire based on performance