Senior Workers’ Compensation Indemnity Claims Adjuster | Remote
Current Jobs at King's Insurance Staffing
·Yesterday
- Salary
- $90k – $110k
- Workplace
- Remote
- Type
- Full-time
- Department
- Human Resources
- Seniority
- Senior
- Source
- RecruiterFlow
Description
The ideal candidate will have strong California workers’ compensation knowledge, experience independently managing a claim inventory, and the ability to communicate effectively with injured employees, medical providers, attorneys, and other involved parties. Candidates must reside in Fresno, CA, or the surrounding area.
Responsibilities
-
Manage a caseload of California workers’ compensation claims from initial reporting through closure.
-
Investigate new claims, evaluate compensability, and determine appropriate benefits in accordance with California workers’ compensation regulations.
-
Calculate and issue temporary disability, permanent disability, and other applicable indemnity benefits.
-
Review medical documentation, treatment recommendations, work restrictions, and disability status to determine appropriate claim activity.
-
Coordinate with injured employees, employers, medical providers, attorneys, and other parties throughout the life of the claim.
-
Establish appropriate reserves and regularly evaluate claim exposure based on medical, legal, and financial developments.
Qualifications
-
Minimum of 3 years of workers’ compensation claims adjusting or examining experience.
-
Strong knowledge of California workers’ compensation laws, regulations, and claims-handling requirements.
-
Experience handling claims from initial investigation through litigation and final closure.
-
Previous experience within a self-insured environment is highly preferred.
-
California Self-Insurance Administrator’s Certificate is required, or the ability to obtain the certification within the required timeframe.
-
Strong understanding of indemnity benefits, medical management, reserving, litigation, and settlement practices.
Salary & Benefits
-
$90,000–$110,000 (based on experience)
-
Comprehensive medical, dental, and vision insurance.
-
Employer-sponsored retirement benefits.
-
Paid vacation, sick leave, and holidays.
-
Employer-provided life insurance.
