Senior Workers' Compensation Adjuster
Posted 39ds ago
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Job Description
Senior Workers’ Compensation Adjuster managing moderate to complex claims including investigation, negotiation, and litigation remotely. Seeking candidate with 5+ years California claims experience.
Responsibilities:
- Manage moderate to complex workers’ compensation claims from initial investigation through resolution
- Conduct interviews with insured parties, claimants, witnesses, and other relevant individuals to assess claim eligibility
- Obtain statements; analyze coverage; determine compensability and applicable benefits; set appropriate reserves
- Negotiate settlements; and litigation management
- Handle a broad range of claims with settlement authority up to $175,000
- Provide mentorship or support to junior team members in their claims handling
- Maintain timely and accurate claim file documentation in accordance with company protocols
- Coordinate medical management, including UR/IMR and return-to-work strategies
- Participate in claim reviews and case discussions
Requirements:
- 5+ years California workers’ compensation claims experience
- Current Experienced Adjuster Designation
- Bachelor’s degree preferred
- Experience adjusting complex indemnity and litigated claims
- Advanced knowledge of California workers’ compensation regulations and laws
- Ability to work independently and efficiently in a remote environment
- Excellent analytical and problem-solving abilities
- Effective verbal and written communication skills
- Ability to negotiate skillfully in challenging situations
- Strong organizational and time management skills with ability to prioritize competing demands
- Proficiency with Microsoft Word, Excel, and Outlook
- Ability to perform advanced mathematical calculations
Benefits:
- Competitive base salary plus incentive plans for eligible team members
- 401(K) retirement plan that includes a company match of up to 6% of your eligible salary
- Free basic life and AD&D, long-term disability and short-term disability insurance
- Medical, dental and vision plans to meet your unique healthcare needs
- Wellness incentives
- Generous time off program that includes personal, holiday and volunteer paid time off
- Flexible work schedules and hybrid/remote options for eligible positions
- Educational assistance
