Remote Senior Workers’ Comp Claims Adjuster – CA

Davies North America; San Diego (CA); Remote; USD 49,593 - 55,104; Full time

Benefits offered by this job

Medical, dental, and vision plans

A 401k plan with employer matching

Discretionary Time Off

Paid holidays

Life insurance and disability plans

Job summary

An insurance service provider is seeking a Senior Workers’ Compensation Claims Adjuster to manage a caseload of claims from inception to resolution. The role is full-time and offers remote flexibility with some travel. Responsibilities include conducting investigations, managing reserves, authorizing medical care, and ensuring quality customer service. Candidates should have California Workers’ Compensation experience and a bachelor's degree or equivalent experience. This position offers comprehensive benefits including medical, dental, and a 401k plan.

Qualifications

• 1-2 years related experience and/or training, or equivalent combination of education and experience.
• WCCA or WCCP designation preferred.
• Self-Insured License preferred.
• Multiple years’ experience handling Workers’ Compensation claims, including indemnity and legal claims.

Responsibilities

• Conduct and direct investigations to determine AOE/COE.
• Establish initial reserves and maintain accurate reserves on all claims.
• Authorize medical care and manage all legal aspects of claims.
• Provide quality customer service to clients, producers, employers, and injured workers.
• Determine settlement values and move cases towards closure.

Skills

California Workers’ Compensation experience

Proficiency with Microsoft Office Suite

Education

Bachelor's degree from a four-year college or university

Job description

An insurance service provider is seeking a Senior Workers’ Compensation Claims Adjuster to manage a caseload of claims from inception to resolution. The role is full-time and offers remote flexibility with some travel. Responsibilities include conducting investigations, managing reserves, authorizing medical care, and ensuring quality customer service. Candidates should have California Workers’ Compensation experience and a bachelor's degree or equivalent experience. This position offers comprehensive benefits including medical, dental, and a 401k plan.