CA Indemnity Examiner

Jonus Group; Bakersfield (CA); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Health, dental & vision insurance

Job summary

Jonus Group is seeking an Indemnity Claims Examiner - Workers' Compensation in California to manage indemnity claims from start to finish, ensuring regulatory compliance and stakeholder service. The ideal candidate has 3+ years' CA WC claims experience, SIP certification within 6 months if not already certified, and strong communication and analytical skills.

Public entities or school district experience is valued.

Qualifications

• 3+ years in CA workers' compensation claims handling.
• SIP certification within 6 months if not already certified.
• Public entities or school districts experience desirable.
• Ability to manage claims through litigation and closure.
• Strong knowledge of CA workers' compensation regulations.

Responsibilities

• Manage a caseload of workers' compensation indemnity claims from initial reporting through closure.
• Investigate claims and gather documentation to determine compensability.
• Coordinate with medical providers, legal counsel, employers, and injured workers.
• Monitor reserves, payments and ongoing activity for accuracy and compliance.
• Handle litigated files and work with defense counsel as needed.
• Ensure adherence to CA workers' compensation laws and reporting requirements.
• Provide status updates and recommendations to internal stakeholders.

Skills

Communication skills

Organizational skills

Analytical skills

Caseload management

CA WC regs

Litigation handling

Self-Insured / TPA

Job description

Indemnity Claims Examiner - Workers' Compensation

Job Summary

Seeking a dedicated and experienced Indemnity Claims Examiner - Workers' Compensation to join a growing team. The successful candidate will manage a caseload of workers' compensation indemnity claims, ensuring compliance with California regulations while providing exceptional service to all stakeholders. If you have a strong background in claims handling and a passion for delivering results, we encourage you to apply.

Compensation Package

• Base Salary: $85,000 - $105,000 per year
• Health Coverage: Company-paid Health, Dental, and Vision insurance

Responsibilities

• Manage a caseload of workers' compensation indemnity claims from initial reporting through closure.
• Investigate claims and gather necessary documentation to determine compensability.
• Coordinate with medical providers, legal counsel, employers, and injured workers throughout the claims process.
• Monitor claim reserves, payments, and ongoing claim activity to ensure accuracy and compliance.
• Handle litigated files and collaborate with defense counsel as needed.
• Ensure adherence to California workers' compensation laws, regulations, and reporting requirements.
• Provide claim status updates and recommendations to internal stakeholders.

Qualifications/Requirements

• Minimum of 3 years of experience in California workers' compensation claims handling.
• Self-Insurance Plans (SIP) certification is a significant advantage but not required; must obtain within 6 months of employment if not already certified.
• Experience working with public entities or school districts is highly desirable.
• Proven ability to manage claims through litigation and closure.
• Strong knowledge of California workers' compensation regulations and claims practices.
• Experience with self-insured or third-party administrator (TPA) environments is a plus.
• Excellent communication, organizational, and analytical skills.
• Ability to effectively manage a diverse caseload and prioritize competing deadlines.

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