Remote California Workers Compensation Adjuster

Questpro; Dallas (TX); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading insurance company is seeking a remote Workers’ Compensation Claims Adjuster, licensed in California, to manage and resolve claims efficiently. The role requires strong expertise in workers' comp regulations and a proven ability to deliver exceptional claims handling and customer service. This position offers flexibility in work environment and a supportive team, perfect for dynamic candidates looking to contribute to a growing company.

Qualifications

• 2+ years of experience in managing California workers’ compensation claims.
• Strong knowledge of California workers’ compensation laws.
• Bilingual (Spanish/English) is a plus.

Responsibilities

• Investigate and manage workers’ compensation claims from inception to resolution.
• Communicate with injured workers and other stakeholders.
• Maintain knowledge of California WCAB rules.

Skills

Communication

Claim Management

Knowledge of Workers’ Compensation Law

Education

California Self-Insured Plans (SIP) certificate or equivalent

Tools

Claims Management Systems

Job description

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• Location: Dallas, TX
• Type: Q Temps
• Job #21207

Job Title: Workers’ Compensation Claims Adjuster

Location: California (Remote)

Job Summary:

We are seeking a detail-oriented and experienced Workers’ Compensation Claims Adjuster licensed in California to manage and resolve workers’ compensation claims efficiently and in accordance with applicable laws and company guidelines. The ideal candidate will have strong knowledge of California workers’ comp regulations and a track record of delivering high-quality claims handling and customer service.

Key Responsibilities:

• Investigate, evaluate, and manage California workers’ compensation claims from inception to resolution
• Determine compensability of claims and authorize appropriate medical treatment and indemnity benefits
• Communicate with injured workers, employers, attorneys, medical providers, and other stakeholders
• Establish and maintain appropriate reserves based on claim facts and exposure
• Prepare comprehensive reports and documentation in compliance with state laws and company policies
• Attend depositions, hearings, and mediations as necessary
• Work closely with legal counsel and return-to-work coordinators
• Maintain current knowledge of California WCAB rules, labor codes, and industry trends

Qualifications:

• Active California Self-Insured Plans (SIP) certificate or equivalent state-required license
• 2+ years of experience handling California workers’ compensation claims
• Strong understanding of California workers’ compensation law and medical terminology
• Excellent verbal and written communication skills
• Ability to manage a high volume of claims in a fast-paced environment
• Experience with claims management systems (e.g., Guidewire, JURIS, or similar)

Preferred Qualifications:

• Bilingual (Spanish/English) a plus
• Experience working with public entities or self-insured employers

Work Environment:

• Flexible (Remote, Hybrid, or On-site options depending on the employer)
• Standard Monday to Friday schedule, with occasional overtime during peak periods

Small TPA is looking for a long-term temporary California WC adjuster to work remote. Equipment is not provided; candidates must have their own laptop/equipment and use their cell phone. They use a web-based system called Claims Pilot, which is user-friendly with any computer.

Job Title: Workers’ Compensation Claims Adjuster

Location: California (Remote/Hybrid/In-Office depending on employer)

Work Environment:

• Flexible (Remote, Hybrid, or On-site options depending on the employer)
• Standard Monday to Friday schedule, with occasional overtime during peak periods

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• Insurance