Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Workers Compensation Claims Examiner

$95k - $110k
Full-time

Next Level Administrators, LLC

Role Description

Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This role is responsible for:

  • Investigating claims and determining compensability
  • Managing litigation and evaluating exposure
  • Developing claim resolution strategies while ensuring compliance with California workers' compensation laws and regulations

This is a fully remote position. Candidates must be able to support California-based claims and work business hours aligned with Mountain or Pacific Time zones.

Qualifications

  • 5+ years of experience handling California workers' compensation claims
  • Experience managing indemnity claims
  • Experience handling litigated workers' compensation claims
  • Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation
  • Strong knowledge of California workers' compensation laws, regulations, and claims handling practices
  • Experience developing claim resolution strategies and negotiating settlements
  • Ability to independently manage complex claims with minimal supervision
  • Strong analytical, decision-making, and problem-solving skills
  • Excellent verbal and written communication skills
  • Strong organizational skills with the ability to manage multiple priorities in a remote environment
  • Proficiency with Microsoft Office and claims management systems

Requirements

  • High school diploma or equivalent required
  • Additional education beneficial
  • Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation required

Benefits

At Acrisure, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life:

  • Physical Wellness:
    • Comprehensive medical, dental, and vision insurance
    • Life and disability insurance
    • Fertility benefits
    • Wellness resources
    • Paid sick time
  • Mental Wellness:
    • Generous paid time off and holidays
    • Employee Assistance Program (EAP)
    • Complimentary Calm app subscription
  • Financial Wellness:
    • Immediate vesting in a 401(k) plan
    • Health Savings Account (HSA) and Flexible Spending Account (FSA) options
    • Commuter benefits
    • Employee discount programs
  • Family Care:
    • Paid maternity and paternity leave (including for adoptive parents)
    • Legal plan options
    • Pet insurance coverage

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Vacancy posted 6 days ago
Similar jobs that could be interesting for youBased on the Senior Workers Compensation Claims Examiner in Remote vacancy
  • ICW Group is seeking a Senior Claims Examiner for Workers' Compensation in San Diego, CA. The role involves managing complex claims with a focus on providing exceptional customer service and navigating legal processes. Ideal candidates will have a Bachelor's degree and... 
    Senior
    Remote job

    ICW Group

    San Diego, CA
    1 day ago
  • $80k - $95k

    Our client is looking for an experienced Workers' Compensation Claims Examiner to join their growing Texas claims team. This position is ideal for a claims professional who thrives in a fast-paced environment and has a strong background handling Texas Workers' Compensation... 
    Senior
    Remote work
    Flexible hours

    King's Insurance Staffing

    Houston, TX
    1 day ago
  • $85k - $100k

    Our client is seeking to add a Senior Workers' Compensation Claims Examiner to their Midwest team. This would be a fully remote position and will consist of handling mid to complex Workers' Compensation Lost Time claims from inception to close. Qualified candidates must... 
    Senior
    Remote work
    Flexible hours

    King's Insurance Staffing

    Kansas City, MO
    1 day ago
  • $90k - $115k

    Our client is seeking to add a Senior Workers' Compensation Claims Examiner to their California operations. This role will consist of handling moderate to complex Workers’ Compensation Lost Time claims throughout the state of California from inception to close. Qualified... 
    Senior
    Work from home

    King's Insurance Staffing

    California, MO
    3 days ago
  • $61.05k - $98.33k

     ...Senior Workers' Compensation Claims Specialist The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements... 
    Senior
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel

    Downers Grove, IL
    1 day ago
  • $62.4k - $93.6k

     ...Sr Representative Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that goes...  ...State Department of Labor & Industry required. The Workers' Compensation Senior Claim Representative is accountable for planning, recommending... 
    Senior
    Temporary work
    Remote work
    Monday to Friday
    3 days per week

    The Hartford

    Lake Mary, FL
    3 days ago
  • CCMSI is seeking a Workers' Compensation Claim Representative II to manage a diverse portfolio of claims with professionalism and strong technical skills. The ideal candidate has 5-10 years of experience in claims management, contributing to the exceptional client experience... 
    Senior
    Remote job

    CCMSI

    Florida, NY
    3 days ago
  • $95k - $110k

     ...pay range $95,000.00/yr - $110,000.00/yr Additional compensation types Annual Bonus Direct message the job poster from...  ...Insurance Carrier, is currently seeking an experienced Senior Workers' Compensation Claims Examiner with a proven track record in managing moderate to... 
    Senior
    Remote job
    Full time
    Traineeship
    Work from home
    Flexible hours

    King's Insurance Staffing

    New York, NY
    3 days ago
  •  ...facilitates freedom, choice, and opportunity through innovative fiscal agent solutions. ROLE AND ESSENTIAL FUNCTIONS The Workers’ Compensation (WC) Claims Senior Analyst submits and monitors claims for Acumen’s workers’ compensation program across a multi-state Home and... 
    Senior
    Work at office
    Work from home

    Acumen LLC

    Arizona City, AZ
    4 days ago
  • Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This remote opportunity requires working business hours aligned with Mountain or Pacific Time... 
    Senior
    Remote job

    Acrisure

    Murrieta, CA
    2 days ago
  • $85k - $105k

    Sedgwick is seeking a Workers Compensation Claims Examiner in California to analyze and process claims, ensuring adjudication within service expectations. This role involves negotiable settlements and effective communication with clients. The ideal candidate has 5 years... 
    Senior
    Remote job
    Flexible hours

    Sedgwick

    Los Angeles, CA
    4 days ago
  • JOHNSON SERVICE GROUP seeks a Senior Claims Examiner to manage 4850 workers' compensation claims fully remote from Northern CA. You will handle claims from inception to closure, ensuring timely processing and payment of benefits. The ideal candidate has at least 3 years... 
    Senior
    Remote job

    JOHNSON SERVICE GROUP

    Pleasant Hill, CA
    2 days ago
  • Gallagher is seeking a Senior Claims Examiner to manage Workers' Compensation claims. This remote position requires candidates to reside in California, leveraging expertise to resolve claims efficiently and mitigate risks. The ideal candidate has a high school diploma,... 
    Senior
    Remote job

    Gallagher

    Pleasanton, CA
    1 day ago
  • $85k - $100k

    A leading insurance staffing firm is seeking a Senior Workers' Compensation Claims Examiner for a fully remote role. The successful candidate will manage mid to complex Workers' Compensation Lost Time claims from inception to close. Required qualifications include over... 
    Senior
    Remote job

    King's Insurance Staffing

    Kansas City, MO
    1 day ago
  • $75k - $105k

    Gallagher is hiring a Senior Claims Examiner in California. This remote position requires managing Workers' Compensation claims, negotiating settlements, and collaborating with legal teams for optimal outcomes. The ideal candidate should have at least 5 years of claims... 
    Senior
    Remote job

    Gallagher

    Rancho Cordova, CA
    2 days ago
  • $75k - $105k

    Arthur J. Gallagher & Co. (AJG) is seeking a Senior Claims Examiner to manage Workers' Compensation claims in California. This role requires a high school diploma and 5 years of claims experience, focusing on negotiation and compliance. You'll play a vital role in ensuring... 
    Senior
    Remote job
    Flexible hours

    Arthur J. Gallagher & Co.

    Rancho Cordova, CA
    2 days ago
  • Gallagher is looking for a Senior Claims Examiner to manage Workers' Compensation indemnity claims from a remote location in California. In this role, you will ensure effective claim handling, oversee complex issues, and maintain satisfaction for clients while adhering... 
    Senior
    Remote job

    Gallagher

    Corona, CA
    4 days ago
  •  ...Financial Services, Inc. is seeking a Lead Claims Examiner to manage the investigation,...  ...possess over 3 years of experience as a Workers Comp adjuster and be skilled in negotiation...  ...communication. We offer a competitive compensation package including Medical & Dental... 
    Senior
    Remote job
    Work at office

    AmTrust Financial

    Chicago, IL
    10 hours ago
  •  ...POSITION DETAILS POSITION SUMMARY COMPANY has an immediate need for a Senior Claims Examiner to support our workers compensation offices and can be located anywhere in the state of California. The schedule for this position is Monday-Friday at 37.5 hours a week... 
    Work at office
    Immediate start
    Remote work
    Monday to Friday

    Elite CPA Corp

    United States
    3 days ago
  • $80k - $100k

     ...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve... 
    Remote work
    Flexible hours

    Sedgwick

    Cheyenne, WY
    5 days ago
  • $80k - $90k

     ...Role Overview This role requires an individual to analyze Lost‑Time Workers Compensation claims on behalf of clients to determine benefits due and ensure ongoing adjudication within service expectations, industry best practices, and specific client service requirements... 
    Remote work
    Flexible hours

    Sedgwick

    Raleigh, NC
    4 days ago
  •  ...managing and resolving assigned lost time and complex medical only claims on behalf of the Associations insurance programs to ensure...  ...support techniques; Thorough knowledge of the workers compensation system requirements and medical only claim administration; General... 
    Permanent employment
    Work at office
    Local area
    Remote work
    Night shift

    Association County Commissioners of GA

    Atlanta, GA
    5 days ago
  • $93.6k - $104k

     ...Workers Compensation Claims Examiner III Temp Fully Remote • Chino Hills - Chino Hills, CA 91709 Overview Salary Range $93,600.00 - $104,000.00 Salary Level Experienced Position Type Temporary Job Shift Day Education Level High School Diploma or GED Travel Percentage... 
    Temporary work
    Work at office
    Remote work
    Long distance
    Shift work

    Tristar

    United States
    6 days ago
  • $80k - $100k

     ...Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve... 
    Work at office
    Remote work
    Flexible hours

    Sedgwick

    San Diego, CA
    10 days ago
  •  ...Workers' Compensation Claims Examiner A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients... 
    Work at office
    Immediate start
    Remote work
    Flexible hours

    Acrisure LLC

    United States
    3 days ago
  • $80k - $100k

    ## Workers Compensation Claims ExaminerApplylocations: Roseville, CA: US Telecommuter: Telecommuter CAposted on: Posted Todayjob requisition id: R75541By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people... 
    Remote work
    Flexible hours

    Sedgwick Claims Management Services

    Roseville, CA
    1 day ago
  • $75k - $85k

     ...Workers Compensation Claims Examiner III Corpus Christi (Hybrid) Fully Remote • Corpus Christi, TX 78411 Overview Salary Range $75,000.00 - $85,000.00 Salary Level Experienced Position Type Full Time Job Shift Day Education Level High School Diploma or GED Travel... 
    Full time
    Work at office
    Remote work
    Shift work

    Tristar

    Corpus Christi, TX
    3 days ago
  • $90k - $115k

    Sr. Workers' Compensation Claims Specialist | Remote 3 days ago Be among the first 25 applicants Pay range: $90,000.00/yr - $115,000.00/yr (based...  ...in the insurance industry, is seeking an experienced Senior Workers' Compensation Claims Adjuster to manage and resolve... 
    Senior
    Remote job
    Full time

    King's Insurance Staffing

    Los Angeles, CA
    3 days ago
  • $85k - $110k

    Role Description Our client, an A-rated Insurance Carrier, is seeking to add a Senior Workers' Compensation Claims Examiner to their team. This is a fully remote position responsible for handling mid to complex Colorado Workers' Compensation Lost Time claims from inception... 
    Senior
    Full time
    Remote work
    Flexible hours

    King'S Insurance Staffing

    Remote
    10 hours ago
  •  ...California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property &...  ...by a commitment to excellence and innovation. As a Senior Claims Examiner, you’ll play a vital role in helping businesses and individuals... 
    Senior
    Remote job
    Full time
    Live out
    Work at office
    Local area
    Flexible hours

    Arthur J. Gallagher & Co.

    Pleasanton, CA
    10 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Workers Compensation Claims Examiner. Be the first to apply!