Senior Workers' Comp Claims Specialist — Remote

AF Group; Los Angeles (CA); Hybrid; USD 65,000 - 109,000; Full time

Job summary

AF Group is seeking an advanced level claims handler with California experience to investigate complex workers' compensation claims, determine compensability, and establish reserves within authority, while guiding others and coordinating special projects.

The role includes negotiating settlements, mentoring teammates, and ensuring compliance with state laws; work can be office-based or remote with minimal travel.

Qualifications

• Five years of workers' compensation claims experience.
• Experience handling complex claims across jurisdictions preferred.
• Bilingual skills preferred.

Responsibilities

• Investigates claims and determines compensability.
• Mentors lower-level claim handlers.
• Establishes reserves within authority.
• Negotiates settlements with attorneys or parties.
• Coordinates outside vendors for cost containment.
• Stays current with workers' compensation laws.

Skills

Communication skills

Negotiation

Analytical skills

Bilingual preferred

Education

Bachelor's degree in a related field

Job description

AF Group is seeking an advanced level claims handler with California experience to investigate complex workers' compensation claims, determine compensability, and establish reserves within authority, while guiding others and coordinating special projects.

The role includes negotiating settlements, mentoring teammates, and ensuring compliance with state laws; work can be office-based or remote with minimal travel.