Senior Workers' Comp Claims Specialist — California Expert

AF Group; Sacramento (CA); Remote; USD 65,000 - 109,000; Full time

Job summary

AF Group seeks a senior claims handler with deep California workers' compensation experience to investigate and adjudicate complex claims. You will determine compensability, manage reserves, and coordinate return-to-work efforts while mentoring junior staff.

Responsibilities include negotiating settlements within authority, guiding special projects, and maintaining strong relationships with internal and external partners. Direct experience in multi-jurisdictional claims is valued.

Qualifications

• Five years of experience in a workers' compensation claims environment.
• Experience handling complex, high-touch or large-volume claims preferred.
• Bilingual skills preferred.

Responsibilities

• Verifies workers' compensation coverage and determines compensability by investigation.
• Facilitates return to work and establishes reserves within authority.
• Negotiates settlements with attorneys or injured parties.
• Mentors team members and coordinates special projects.

Skills

Claims investigation

Discretion in adjudication

Negotiation

Mentoring

Project coordination

Education

Bachelor's degree in related field

Job description

AF Group seeks a senior claims handler with deep California workers' compensation experience to investigate and adjudicate complex claims. You will determine compensability, manage reserves, and coordinate return-to-work efforts while mentoring junior staff.

Responsibilities include negotiating settlements within authority, guiding special projects, and maintaining strong relationships with internal and external partners. Direct experience in multi-jurisdictional claims is valued.