California Workers' Compensation Claims Examiner | Remote
Current Jobs at King's Insurance Staffing
·Yesterday
- Salary
- $45 – $55
- Workplace
- Remote
- Type
- Full-time
- Department
- Human Resources
- Education
- Certification
- Source
- RecruiterFlow
Description
Our client is seeking an experienced California Workers' Compensation Claims Examiner to join their growing Claims team. This is an excellent opportunity for a claims professional who thrives in a fast-paced, collaborative environment. The ideal candidate will have experience managing indemnity claims from inception through resolution while ensuring compliance with California Workers' Compensation laws and regulations. This is a fully remote, temp-to-perm opportunity.
Key Responsibilities:
- Manage a caseload of California Workers' Compensation claims from inception through resolution.
- Investigate claims, determine compensability, establish reserves, and develop appropriate claim strategies.
- Coordinate with injured workers, employers, attorneys, medical providers, and vocational professionals throughout the life of the claim.
- Review medical records, wage information, and legal documentation to evaluate claim exposure and determine appropriate benefits.
- Negotiate settlements and work closely with defense counsel on litigated claims.
- Maintain timely and accurate claim documentation within the claims management system.
- Ensure compliance with California Workers' Compensation statutes, regulations, and company claim handling guidelines.
Requirements:
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5+ years of California Workers' Compensation Claims Examiner experience required.
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Strong knowledge of California Workers' Compensation laws, regulations, and benefit administration.
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Must reside in California
- Experience handling indemnity and litigated California Workers' Compensation claims.
- Excellent organizational, analytical, negotiation, and communication skills.
- Ability to independently manage a full caseload in a remote environment.
- Proficiency with claims management systems and Microsoft Office Suite.
- SIP certification preferred but not required.
Salary & Benefits:
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$45.00 – $55.00 per hour, depending on experience
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Fully remote work environment
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Medical, Dental, Vision, and 401(k) benefits available while on assignment
- Strong opportunity for permanent hire based on performance
Skills
ComplianceNegotiation
