Senior Remote Workers’ Comp Claims Examiner

JOHNSON SERVICE GROUP; Pleasant Hill (CA); Remote; USD 3,478,000 - 4,890,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short-term disability

401(k)

Weekly pay

Job summary

Johnson Service Group is seeking a Senior Workers' Compensation Examiner in California for a contract, full remote role. The examiner handles claims from inception through settlement, adjusting reserves, reviewing medical treatment, and negotiating settlements.

Qualified candidates will have 5+ years of workers' comp claims experience, a CA Claims Adjuster designation, and strong analytical, communication, and organizational skills. The position offers weekly pay and comprehensive benefits.

Qualifications

• High School Diploma or equivalent (GED) required for all positions.
• AA/AS or BA/BS preferred but not required.
• CA Experienced Indemnity Claims Adjuster Designation is required.
• Administration Certificate from Self-Insurance Plans within one year.

Responsibilities

• Establish contact with employer to review issues.
• Respond to inquiries from employers, employees, doctors, and attorneys.
• Establish and maintain reserves and review medical procedures and treatment.
• Administer benefits and ensure payments are appropriate.
• Investigate coverage, liability, and monetary value of claims.
• Negotiate settlements and prepare client reports.
• Close claims and support litigation strategies.
• Provide direction to staff and coordinate with vendors and clients.

Skills

Claims handling

Negotiation

Analytical skills

Verbal and written communication

Attention to detail

Organizational skills

Multi-tasking

Typing speed

Education

High School Diploma

AA/AS or BA/BS preferred

Experienced Indemnity Claims Adjuster Designation (CA)

Administrators Certificate from Self-Insurance Plans

Tools

Microsoft Office Suite

Job description

Johnson Service Group is seeking a Senior Workers' Compensation Examiner in California for a contract, full remote role. The examiner handles claims from inception through settlement, adjusting reserves, reviewing medical treatment, and negotiating settlements.

Qualified candidates will have 5+ years of workers' comp claims experience, a CA Claims Adjuster designation, and strong analytical, communication, and organizational skills. The position offers weekly pay and comprehensive benefits.