Senior Workers Compensation Adjuster

Senior Workers Compensation Adjuster (California) Work arrangement: Fully Remote (on-site as needed) Employment type: Direct Hire Hours: 40/week (8 hours/day) Compensation: 80,000- 99,000 Work arrangement: Fully Remote (on-site as needed) Location: Roseville, CA Employment type: Direct Hire Hours: 40/week (8 hours/day) Compensation: 80,000- 99,000 Make a real impact for injured workers—while using your expertise to drive fair, timely outcomes on complex California workers’ compensation claims. If you thrive in high-stakes file ownership, strategic negotiation, and confident decision-making, this fully remote role offers the autonomy and challenge of a senior desk with the support of a collaborative claims organization. Overview We’re seeking a Senior Workers Compensation Adjuster to independently manage moderate-to-complex, high-value California workers’ comp lost-time claims with minimal supervision. You’ll lead investigations, evaluate coverage and exposure, manage litigation strategy, and mentor less-experienced claim handlers—while ensuring strong compliance and documentation throughout the claim lifecycle. Key Responsibilities Own a desk of moderate-to-complex California workers’ compensation lost-time claims from assignment through resolution. Lead investigations, analyze coverage, and issue appropriate documentation (including reservation of rights and coverage letters). Set reserves, authorize payments, and make sound financial decisions within authority. Manage litigation and disputes, partnering with legal counsel and technical specialists to drive optimal outcomes. Identify risk transfer and subrogation opportunities. Maintain detailed, accurate claim file documentation and meet jurisdictional compliance requirements. Collaborate with internal and external partners (legal, underwriting, vendors, agents) and communicate clearly with stakeholders. Use tools and analytics to identify trends and improve consistency and efficiency. Mentor junior claim handlers and contribute to training and best-practice development. Must-Have Qualifications 5–10+ years of workers’ compensation claims handling experience with an insurance carrier Ability to possess or obtain and maintain appropriate state adjuster license(s) and continuing education Proven capability negotiating complex, high-exposure claims, including litigation and compliance matters Strong written/verbal communication with an empathetic, professional customer approach Organized desk-management skills and comfort working independently in a remote environment Nice-to-Have Bachelor’s degree (preferred) or equivalent combination of education and experience #J-18808-Ljbffr EPITEC