Senior California Workers' Comp Claims Examiner — Remote

Acrisure, LLC; Murrieta (CA); On-site; USD 95,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Fertility benefits

Wellness resources

Paid sick time

Job summary

Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This remote role requires handling indemnity claims and litigated files while aligning with California regulations.

The candidate should hold a CA Adjuster Certification or CWCP, with 5+ years' experience and strong analytical, negotiation, and communication skills.

Qualifications

• 5+ years of experience handling California workers' compensation claims.
• Experience managing indemnity claims.
• Experience handling litigated workers' compensation claims.
• Current California Adjuster Certification, OSIP/SIP self-insured qualification, or CWCP designation.

Responsibilities

• Independently manage a caseload of California workers' compensation claims from assignment through resolution.
• Investigate claims, evaluate compensability, and determine claim handling strategies.
• Review coverage, liability, medical documentation, and claim exposure.
• Establish and manage reserves based on claim exposure and developments.
• Manage complex indemnity claims, including litigated files and settlements.
• Coordinate with defense counsel, medical providers, employers, and stakeholders.
• Monitor claim progress, maintain diaries, and ensure timely follow-up.

Skills

California Adjuster Certification

Litigated claims

CWCP designation

OSIP/SIP self-insured qualification

Analytical skills

Verbal and written communication

Education

High school diploma

Job description

Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This remote role requires handling indemnity claims and litigated files while aligning with California regulations.

The candidate should hold a CA Adjuster Certification or CWCP, with 5+ years' experience and strong analytical, negotiation, and communication skills.