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Senior California Workers' Compensation Claims Specialist | Remote

Remote, USA Full-time Posted 2025-04-16

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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