Remote Senior CA Workers' Comp Claims Specialist

King's Insurance Staffing; Los Angeles (CA); Remote; USD 90,000 - 115,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Life insurance

Long-term disability coverage

Retirement plan options

Generous paid time off

Professional development opportunities

401(k)

Tuition assistance

Child care support

Job summary

A leading insurance firm is seeking a Senior Workers' Compensation Claims Specialist to manage complex claims in Los Angeles. Candidates should have 5-7+ years of experience in claims adjustment, particularly in California, and possess strong negotiation skills. This remote position offers a competitive salary between $90,000 and $115,000 based on experience, along with a comprehensive benefits package. Opportunities for professional development and generous paid time off are included.

Qualifications

• 5 - 7+ years of experience in workers' compensation claims adjustment, preferably in California.
• Comprehensive understanding of California workers' compensation laws and best practices.
• Professional certifications such as SIP are highly preferred.

Responsibilities

• Conduct thorough investigations to determine liability and establish compensability.
• Independently handle a caseload of 90-100 moderate to complex, litigated claims.
• Manage all aspects of claim settlement, including negotiation and disbursement of funds.
• Implement cost-saving strategies and negotiate settlements.
• Maintain up-to-date knowledge of workers' compensation laws.

Skills

Workers' compensation claims adjustment

Negotiation skills

Interpersonal skills

Education

Bachelor’s degree in Business Administration, Law, or a related field

Job description

Our client, a leading force in the insurance industry, is seeking an experienced Senior Workers' Compensation Claims Adjuster to manage and resolve moderate to complex California workers' compensation claims efficiently and effectively. As a Senior Workers' Compensation Claims Adjuster, you will be responsible for the complete management of a portfolio of moderate to complex workers' compensation claims, from initial notification through to final settlement. This person will have the ability to work remotely.

Key Responsibilities:

• Conduct thorough investigations to determine liability, establish compensability, and assess financial exposure on workers' compensation claims.
• Independently handle a caseload of 90-100 moderate to complex, litigated California Workers' Compensation claims.
• Manage all aspects of claim settlement, including negotiation and disbursement of funds.
• Implement cost-saving strategies and negotiate settlements to minimize company exposure and ensure fair resolutions.
• Maintain up-to-date knowledge of workers' compensation laws and industry trends.

Qualifications:

• 5 - 7+ years of experience in workers' compensation claims adjustment, with a strong focus on California claims.
• Comprehensive understanding of California workers' compensation laws and best practices.
• Exceptional negotiation and interpersonal skills.
• Professional certifications such as SIP are highly preferred.
• Bachelor’s degree in Business Administration, Law, or a related field is preferred.

Compensation and Benefits:

• A competitive salary ranging from $90,000 - $115,000, based on experience, plus performance bonuses.
• A comprehensive benefits package that includes medical, dental, and vision insurance, life insurance, and long-term disability coverage.
• Retirement plan options with employer contributions.
• Generous paid time off and holiday schedule.
• Extensive opportunities for ongoing education and professional development.