Remote Senior Workers' Comp Claims Adjuster

Pie Insurance Group; United States; Remote; USD 95,000 - 120,000; Full time

Benefits offered by this job

Competitive cash compensation

Generous PTO

401k match

Parental leave

Job summary

Pie Insurance Group is seeking a Senior Claims Adjuster for California workers’ compensation to independently manage end-to-end claims from setup to closure. The role focuses on high-dollar, high-exposure cases, timely investigations, and accurate reserving within regulatory guidelines.

You will collaborate with internal/external partners, ensure compliant operations, and strive for best-in-class customer experiences, while mentoring junior adjusters and maintaining strong licensing compliance.

Qualifications

• Minimum 5+ years workers’ compensation claim adjusting experience.
• California WC claims experience required.
• Active licensing in applicable states is required.
• Strong communication and problem-solving skills.

Responsibilities

• Independently handle all aspects of the workers’ compensation claims from setup to closure.
• Evaluate and handle high dollar, high exposure, complex claims.
• Conduct timely 3-point contact investigation; update as facts evolve.
• Set and adjust reserves within authority limits aligned with case facts.
• Present claims to senior management and stakeholders.
• Timely administration of statutory medical and indemnity benefits.
• Comply with statutory guidelines and regulations.
• Mitigate exposure and negotiate favorable settlements.
• Act as a liaison for partner agents and customers on claim guidance.

Skills

Communication

Problem Solving

Mentoring

Licensing

Regulatory Knowledge

Education

High School Diploma

Bachelor's Degree (preferred)

Job description

Pie Insurance Group is seeking a Senior Claims Adjuster for California workers’ compensation to independently manage end-to-end claims from setup to closure. The role focuses on high-dollar, high-exposure cases, timely investigations, and accurate reserving within regulatory guidelines.

You will collaborate with internal/external partners, ensure compliant operations, and strive for best-in-class customer experiences, while mentoring junior adjusters and maintaining strong licensing compliance.