Senior Workers Compensation Adjuster

EPITEC; Roseville (CA); Hybrid; USD 80,000 - 99,000; Full time

Job summary

EPITEC is seeking a Senior Workers’ Compensation Adjuster to independently manage moderate-to-complex California workers’ comp lost-time claims with minimal supervision. This fully remote role offers the autonomy of a senior desk within a collaborative claims organization.

You will lead investigations, evaluate coverage, set reserves, and mentor junior handlers while ensuring strong compliance and documentation across the claim lifecycle.

Qualifications

• 5–10+ years of workers’ compensation claims handling experience with an insurer.
• Ability to obtain and maintain a state adjuster license(s) and CE.
• Proven ability negotiating complex, high-exposure claims, including litigation.
• Strong written and verbal communication with a professional, empathetic approach.
• Organized desk-management skills and ability to work independently in a remote environment.

Responsibilities

• Own a desk of moderate-to-complex CA workers’ comp claims from assignment to resolution.
• Lead investigations, analyze coverage, and issue letters (including reservation of rights and coverage letters).
• Set reserves, authorize payments within authority.
• Manage litigation and coordinate with legal counsel and specialists to drive outcomes.
• Mentor junior claim handlers and share best practices.

Skills

Claims handling

Negotiation

Communication

Desk management

Remote work

Education

Bachelor's degree

Job description

Senior Workers Compensation Adjuster (California)

• Work arrangement: Fully Remote (on-site as needed)
• Employment type: Direct Hire
• Hours: 40/week (8 hours/day)
• Compensation: 80,000- 99,000

• Work arrangement: Fully Remote (on-site as needed)
• Location: Roseville, CA
• Employment type: Direct Hire
• Hours: 40/week (8 hours/day)
• Compensation: 80,000- 99,000

Make a real impact for injured workers—while using your expertise to drive fair, timely outcomes on complex California workers’ compensation claims. If you thrive in high-stakes file ownership, strategic negotiation, and confident decision-making, this fully remote role offers the autonomy and challenge of a senior desk with the support of a collaborative claims organization.

Overview

We’re seeking a Senior Workers Compensation Adjuster to independently manage moderate-to-complex, high-value California workers’ comp lost-time claims with minimal supervision. You’ll lead investigations, evaluate coverage and exposure, manage litigation strategy, and mentor less-experienced claim handlers—while ensuring strong compliance and documentation throughout the claim lifecycle.

Key Responsibilities

• Own a desk of moderate-to-complex California workers’ compensation lost-time claims from assignment through resolution.
• Lead investigations, analyze coverage, and issue appropriate documentation (including reservation of rights and coverage letters).
• Set reserves, authorize payments, and make sound financial decisions within authority.
• Manage litigation and disputes, partnering with legal counsel and technical specialists to drive optimal outcomes.
• Identify risk transfer and subrogation opportunities.
• Maintain detailed, accurate claim file documentation and meet jurisdictional compliance requirements.
• Collaborate with internal and external partners (legal, underwriting, vendors, agents) and communicate clearly with stakeholders.
• Use tools and analytics to identify trends and improve consistency and efficiency.
• Mentor junior claim handlers and contribute to training and best-practice development.

Must-Have Qualifications

• 5–10+ years of workers’ compensation claims handling experience with an insurance carrier
• Ability to possess or obtain and maintain appropriate state adjuster license(s) and continuing education
• Proven capability negotiating complex, high-exposure claims, including litigation and compliance matters
• Strong written/verbal communication with an empathetic, professional customer approach
• Organized desk-management skills and comfort working independently in a remote environment

Nice-to-Have

• Bachelor’s degree (preferred) or equivalent combination of education and experience