Claims Examiner – Workers' Compensation

Motion Recruitment; California (MO); Remote; USD 55,000 - 83,000; Part time

Job summary

Motion Recruitment is seeking a Workers' Compensation Claims Examiner with 3+ years of California WC experience for a remote, California-based contract opportunity. You will work independently within a seasoned claims team on complex cases, driving timely resolutions in a flexible remote environment.

The role emphasizes adjudication, litigation management, reserve analysis, settlements, and collaboration with vendors, attorneys, and clients. Contract duration is 5 months with possible extensions.

Qualifications

• 3+ years of Workers' Compensation claims examining experience (California).
• Experience handling complex and high-exposure WC claims.
• Strong knowledge of WC laws, regulations, and adjudication.

Responsibilities

• 90% Hands-On Claims Investigation, Adjudication, Litigation Management, Reserve Analysis, Settlement Negotiation, and Client Communication.
• 10% Team Collaboration with Supervisors, Vendors, Attorneys, Medical Providers, and Clients.

Skills

WC claims experience

Adjudication & litigation

Reserve analysis

Negotiation

Client communication

Analytical thinking

MS Office

Claims systems

Education

Bachelor's degree

Professional claims certification

Tools

Claims management systems

Microsoft Office

Job description

Join a leading claims and risk management organization supporting clients across a variety of industries. This remote California-based contract opportunity is ideal for an experienced Workers Compensation Claims Examiner (3+ years of California WC experience)

This is an excellent opportunity to work independently while collaborating with an experienced claims team on challenging, high-impact cases. You'll gain exposure to complex workers' compensation claims, utilize industry best practices, and play a key role in driving timely, cost-effective claim resolutions in a flexible remote work environment.

Contract Duration: 5 Months (possible extensions)

Required Skills & Experience

• 3+ years of Workers' Compensation claims examining experience
• Experience managing complex and high-exposure workers' compensation claims
• Strong knowledge of workers' compensation laws, regulations, and claim adjudication
• Experience handling litigation and rehabilitation claims
• Reserve analysis and management experience
• Settlement negotiation within designated authority limits
• Strong analytical, problem-solving, and decision-making skills
• Excellent written and verbal communication skills
• Ability to manage multiple priorities and meet deadlines
• Proficiency with claims management systems and Microsoft Office applications
• Ability to pass a credit security/background check

Desired Skills & Experience

• Bachelor's degree from an accredited college or university
• Professional claims certification applicable to Workers' Compensation
• Experience with subrogation and recovery processes
• Knowledge of Medicare, Social Security offsets, and Second Injury Fund recoveries
• Experience working in a client-focused claims environment

What You Will Be Doing

Daily Responsibilities

• 90% Hands-On Claims Investigation, Adjudication, Litigation Management, Reserve Analysis, Benefit Administration, Settlement Negotiation, and Client Communication
• 10% Team Collaboration with Supervisors, Vendors, Attorneys, Medical Providers, and Clients