Our client, an A-rated Insurance Carrier, is growing their California Workers Compensation Department and is in search of a Remote Senior Workers Compensation Claims Specialist. This position involves managing complex, litigated California Workers Compensation Lost Time claims from start to finish. The ideal candidate should have a robust understanding of California Workers Compensation Law and the capability to work remotely.
Key Responsibilities:
• Independently manage complex California Workers’ Compensation claims with minimal oversight.
• Handle a caseload ranging between 100 – 115 lost time and litigated California Workers’ Compensation claims.
• Identify and investigate coverage, compensability, damage, and reserve adequacy on assigned claims.
• Communicate with policyholders, agents, claimants, attorneys, and medical providers, as needed.
• Negotiate settlements effectively with injured workers and their attorneys.
• Provide strategic direction to legal counsel and oversee the litigation process.
Qualifications:
• A minimum of 5+ years of experience in California Workers’ Compensation claims handling.
• Comprehensive knowledge of California Workers’ Compensation Law.
• Prefer candidate to have Workers’ Compensation claims handling experience working directly for an insurance carrier.
• Proven track record in managing litigated cases.
• Exceptional customer service and organizational skills.
• High School Diploma required; Bachelor’s Degree preferred.
Compensation and Benefits:
• Annual base salary ranging from $90,000 to $115,000, plus performance-based bonuses.
• Flexible scheduling and the opportunity to work remotely.
• Comprehensive benefits package including Medical, Dental, Vision, and Life Insurance.
• Employer contribution to Health Savings Account (HSA)
• Eligible for benefits on first day of employment.
• Tuition reimbursement and employer-matched 401(k) plan.
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