Senior CA Workers’ Comp Claims Examiner — Remote

King's Insurance Staffing; California; A distancia; USD 62.000 - 76.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work within California

Competitive hourly rate

Descripción de la vacante

King's Insurance Staffing is seeking an experienced Senior Workers’ Compensation Claims Examiner to manage a portfolio of complex California workers’ compensation claims from inception through final resolution. The role requires deep technical expertise, independent judgment, and the ability to handle high-exposure matters while delivering strong claim outcomes.

The ideal candidate will navigate California regulations, negotiate settlements, work with legal counsel and medical professionals, and

Formación

• Minimum 3+ years handling California Workers’ Compensation claims, including indemnity and litigated files.
• SIP certification is required or preferred.
• Deep knowledge of California Labor Code, DWC procedures and settlement practices.

Responsabilidades

• Independently manage a caseload of complex indemnity and litigated California Workers’ Compensation claims.
• Conduct detailed investigations to determine compensability and exposure.
• Establish and maintain accurate financial reserves based on developments and legal considerations.
• Evaluate permanent disability exposure and calculate benefits per California guidelines.
• Negotiate settlements, including Compromise & Release and Stipulated Award agreements.
• Ensure timely administration of indemnity benefits and medical payments.
• Maintain diary management and move files toward resolution.
• Identify subrogation opportunities and coordinate recoveries when applicable.
• Provide clear communication to injured workers, employers, brokers, and stakeholders.
• Participate in peer reviews to ensure technical accuracy and best practices.

Conocimientos

California WC claims

Negotiation

Litigation management

Claims software

Analytical thinking

Herramientas

Claims management software

Descripción del empleo

King's Insurance Staffing is seeking an experienced Senior Workers’ Compensation Claims Examiner to manage a portfolio of complex California workers’ compensation claims from inception through final resolution. The role requires deep technical expertise, independent judgment, and the ability to handle high-exposure matters while delivering strong claim outcomes.

The ideal candidate will navigate California regulations, negotiate settlements, work with legal counsel and medical professionals, and