Senior California Workers' Compensation Claims Specialist

Jobtailor; Los Angeles (CA); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Jobtailor seeks an experienced California Workers' Compensation Claims professional to lead investigation, evaluation, and resolution of complex CA claims. The role requires reviewing coverage and liability, analyzing reports and documents, and guiding settlements within authority.

The candidate will coordinate with legal and claims teams, mentor staff, and ensure compliance with laws and company policies. Hybrid work in Woodland Hills; remote options may be considered.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 6–10 years of California Workers' Compensation claims handling.
• Ability to work under limited supervision.
• Hybrid schedule for Woodland Hills candidates; remote considered if not local.

Responsibilities

• Investigate and maintain workers’ compensation claims.
• Review and evaluate coverage and/or liability.
• Secure and analyze reports, policies, appraisals, releases, statements, records and other documents.
• Work toward resolution of claims files.
• Attend arbitrations, mediations, depositions or trials as necessary.
• Convey complex coverage decisions to appropriate parties.
• Ensure claims payments are issued timely and accurately.
• Ensure claims handling complies with statutes, regulations, company procedures and policies.
• Provide technical advice to lower-level positions and other functional areas.
• Coaching staff and participating in talent development decisions.
• Perform other duties as assigned.

Skills

CA Workers' Compensation Claims

Claims Evaluation

Settlement Negotiation

Compliance with Legal Requirements

Arbitration & Mediation

Coaching

Communication

Problem-Solving

Decision-Making

Collaboration

Education

Bachelor’s Degree or equivalent experience

Bachelor’s Degree in Liberal Arts, Business or related discipline

Job description

Jobtailor seeks an experienced California Workers' Compensation Claims professional to lead investigation, evaluation, and resolution of complex CA claims. The role requires reviewing coverage and liability, analyzing reports and documents, and guiding settlements within authority.

The candidate will coordinate with legal and claims teams, mentor staff, and ensure compliance with laws and company policies. Hybrid work in Woodland Hills; remote options may be considered.