Senior CA Workers’ Compensation Claims Adjuster – Hybrid

Connect Search, LLC; Chicago (IL); Hybrid; USD 83,000 - 90,000; Full time

Job summary

Connect Search, LLC is conducting a confidential search for a California Workers’ Compensation Claims Adjuster. The role focuses on California WC claims with 3–5 years of direct experience, requiring hands-on management from investigation to resolution, including reserves and settlement negotiations.

The position is a 6-month contract with potential for extension or conversion, with a hybrid schedule (2 onsite days, 3 remote). Strong communication and negotiation skills are essential.

Qualifications

• 3–5+ years of direct California Workers’ Compensation claims handling experience required.
• Demonstrated experience managing complex and/or litigated Workers’ Compensation claims required.
• Hands-on experience establishing and evaluating reserves.
• Strong background in claim investigations, settlements and negotiations.
• Experience coordinating medical management and working with attorneys, physicians and nurse case managers.

Responsibilities

• Independently manage a portfolio of California Workers’ Compensation claims, including complex and litigated matters.
• Review policy coverage and determine applicability to submitted claims.
• Establish and maintain appropriate claim reserves and authorize payments within assigned authority.
• Conduct claim investigations through communication with insureds, claimants, witnesses, medical professionals and other involved parties.
• Evaluate claims for compensability, exposure and appropriate resolution strategy.
• Partner with attorneys, physicians, nurse case managers and internal partners to develop effective claim strategies.
• Manage litigation activity and identify opportunities for timely, cost-effective claim resolution.
• Develop and negotiate settlement strategies and packages.
• Monitor medical treatment and other factors affecting claim exposure and resolution.
• Identify potential fraud and coordinate referrals to appropriate investigative resources.

Skills

California WC claims

Litigation coordination

Reserves management

Investigations

Communication skills

Analytical skills

Negotiation

Education

California claims certification

Bachelor’s degree or equivalent

Tools

Case management software

Job description

Connect Search, LLC is conducting a confidential search for a California Workers’ Compensation Claims Adjuster. The role focuses on California WC claims with 3–5 years of direct experience, requiring hands-on management from investigation to resolution, including reserves and settlement negotiations.

The position is a 6-month contract with potential for extension or conversion, with a hybrid schedule (2 onsite days, 3 remote). Strong communication and negotiation skills are essential.