CA Workers Compensation Claims Adjuster - Remote

Overview

Our client, a well-established Third-Party Administrator (TPA), is seeking an experienced Senior California Workers’ Compensation Claims Adjuster to manage a full caseload of California workers’ compensation claims. This role is fully remote and ideal for a seasoned professional who can independently handle complex claims while delivering high-quality service to clients and injured workers.

• $90,000 - $115,000/year (based on experience)
• 100% remote work environment
• Comprehensive benefits package
• Supportive and collaborative team culture
• Long-term stability with a reputable TPA

• 5+ years of experience handling California Workers’ Compensation claims
• Strong knowledge of California workers’ compensation laws and regulations
• Ability to independently manage complex and litigated claims
• Excellent written and verbal communication skills
• Strong organizational and time management abilities
• Proficiency with claims management systems and standard claims technology

• Manage a full caseload of California workers’ compensation claims from inception through closure
• Investigate claims, determine compensability, and establish appropriate reserves
• Handle complex and litigated claims in compliance with California workers’ compensation laws and regulations
• Coordinate with injured workers, employers, attorneys, medical providers, and other stakeholders
• Prepare and maintain accurate claim documentation and reports
• Ensure timely and compliant claims handling, including benefit administration and settlement negotiations
• Provide excellent customer service while maintaining productivity and quality standards