Senior Workers' Compensation Claims Adjuster
1 day ago
We are seeking a Senior Workers' Compensation Claims Adjuster to join our team at ECLARO. The ideal candidate will have a deep understanding of California workers' compensation laws and regulations, including thorough knowledge of the Labor Code, case law, and related statutes.
MUST COME FROM AN INSURANCE INDUSTRY BACKGROUND & not HEALTH INSURANCE
THIS IS A MUST: Experience in Continuous trauma.
Must be certified in CA
Position is Remote
Key Responsibilities:
- Manage and adjust complex lost time workers' compensation claims from inception to closure, ensuring compliance with state regulations.
- Conduct thorough investigations, assess liability, and make appropriate claims determinations.
- Coordinate medical care, rehabilitation, and return-to-work strategies for injured employees.
- Handle settlement negotiations, including preparing and presenting cases for hearings and trials, if necessary.
- Work closely with internal legal counsel, claims managers, and third-party administrators (TPAs) to ensure claims are handled efficiently and in line with company policies.
Qualifications:
- Minimum of five years of experience handling lost time claims in California.
- Experience in Continuous trauma.
- Candidates will be working on old claims filling
- Proven ability to handle complex claims and maintain a high level of accuracy and detail.
- Strong negotiation skills, with the ability to effectively resolve claims while minimizing costs.
- Familiarity with California state reporting requirements and the ability to manage claims within legal timelines.
- Excellent communication skills, both verbal and written, for interacting with claimants, attorneys, and healthcare providers.
- CA does not have licenses, but person must be certified in CA
-
Senior Workers Compensation Claims Adjuster
4 weeks ago
Folsom, California, United States Gallagher Full timeAbout the RoleWe are seeking a highly skilled Claims Adjuster to join our team at Gallagher. As a key member of our Claims Adjuster team, you will be responsible for investigating, evaluating, and resolving complex workers compensation claims in California.Key ResponsibilitiesInvestigate and evaluate claims to determine liability and extent of damagesDevelop...
-
Workers' Compensation Claims Examiner
4 weeks ago
California, United States ALOIS Solutions Full timeJob Title: Workers' Compensation Claims ExaminerLocation: Fully RemoteJob Summary:ALOIS Solutions is seeking a skilled Workers' Compensation Claims Examiner to join our team. As a key member of our claims management team, you will be responsible for analyzing complex workers' compensation claims, negotiating settlements, and ensuring timely and...
-
Workers Compensation Claims Examiner
4 days ago
California City, California, United States Apidel Technologies Full timeJob SummaryApidel Technologies is seeking a skilled Workers Compensation Claims Examiner to join our team. As a key member of our claims team, you will be responsible for analyzing and processing complex workers' compensation claims, ensuring timely and cost-effective resolution.Key ResponsibilitiesAnalyze and process complex workers' compensation claims,...
-
Claims Examiner
3 weeks ago
California City, United States Apidel Technologies Full timeMinimum 3years of relevant CA WC claims experience is mandatoryCalifornia WC Claims handling experiencePrimary Purpose To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service...
-
CA Senior Claims Specialist
1 month ago
California, United States CorVel Corporation Full timeThe Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to...
-
Claims Adjuster III
4 weeks ago
Irvine, California, United States AmTrust Financial Services, Inc. Full timeJob SummaryWe are seeking a highly skilled Claims Adjuster III to join our team at AmTrust Financial Services, Inc. This role is responsible for investigating, evaluating, and settling or declining insurance claims in a prompt and efficient manner.Key ResponsibilitiesInvestigate claims and coverage by making timely and appropriate contact with involved...
-
Commercial Property Claims Adjuster
1 month ago
California, United States Howden Group Holdings Full time{"title": "Commercial Property Adjuster", "description": "About the RoleCatalytic Claims Services is seeking a Commercial Property Adjuster to join our team in a remote capacity. The successful candidate will be responsible for managing the investigation and adjustment of first-party claims from initial assignment to full resolution.Key...
-
Commercial Property Claims Adjuster
1 month ago
California, United States Howden Group Holdings Full time{"title": "Commercial Property Adjuster", "description": "About the RoleCatalytic Claims Services is seeking a Commercial Property Adjuster to join our team in a remote capacity. The successful candidate will be responsible for managing the investigation and adjustment of first-party claims from initial assignment to full resolution.Key...
-
Commercial Property Claims Adjuster
3 weeks ago
California, United States Howden Group Holdings Full timeAbout the RoleWe are seeking a skilled Commercial Property Adjuster to join our team at DUAL North America. As a Commercial Property Adjuster, you will be responsible for managing the investigation and adjustment of first-party claims from initial assignment to full resolution.Key ResponsibilitiesManage the adjustment of reporting claims, including any...
-
Commercial Property Claims Adjuster
4 weeks ago
California, United States Howden Group Holdings Full timeAbout the RoleWe are seeking a skilled Commercial Property Adjuster to join our team at DUAL North America. As a Commercial Property Adjuster, you will be responsible for managing the investigation and adjustment of first-party claims from initial assignment to full resolution.Key ResponsibilitiesManage the adjustment of reporting claims, including any...
-
Commercial Property Claims Adjuster
3 days ago
California, United States Howden Group Holdings Full timeAbout the Role:We are seeking a skilled Commercial Property Adjuster to join our team at DUAL North America. As a key member of our team, you will be responsible for managing the investigation and adjustment of first-party claims from initial assignment to full resolution.Key Responsibilities:Manage the adjustment of reporting claims, including any...
-
Workers Compensation Attorney
4 days ago
California, United States Mcare Agency LLC Full timeJob Title: Workers Compensation AttorneyOur client, a reputable defense law firm, is seeking a Senior and Associate Attorney with a minimum of 2 years of experience for a remote position. The successful candidate will manage the legal defense of workers compensation cases from inception to final resolution, including all aspects of discovery and...
-
Claims Supervisor
4 weeks ago
California, United States Intercare Holdings Insurance Services Full timeWorkers' Compensation Claims Supervisor OpportunityWe're seeking an experienced and motivated Workers' Compensation Claims Supervisor to join our team at Intercare Holdings Insurance Services in Glendale, CA.Key Responsibilities:Lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to...
-
Insurance Claims Examiner
3 weeks ago
California, United States TSR Consulting Services, Inc. Full timeJob Title: Claims AdjusterJob ID: 80354Rate: $45-$48/hr w2Job Summary: As a Claims Adjuster, you will investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment.Key Responsibilities:Analyze first reports to determine the nature of loss, coverage provided, and scope of...
-
Workers Compensation Defense Attorney
3 weeks ago
California, United States Larson Maddox Full timeJob Title: Workers Compensation Defense AttorneyLarson Maddox is seeking a talented Workers Compensation Defense Attorney to join their growing Southern California presence in San Diego. As a Workers Compensation Defense Attorney, you will represent the Insurance Firm in various workers' compensation claims, developing effective strategies to minimize...
-
CA Liability Claims Specialist
4 weeks ago
California, United States CorVel Corporation Full timeThe Liability Claims Specialist manages within company best practices lower-level, non-complex and non-problematic liability claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS...
-
Workers Compensation Attorney
4 days ago
California, United States Hunt Hive Talent Full timeAbout the RoleHunt Hive Talent Recruiting Agency is seeking a skilled Workers Compensation Attorney to join our team in California. As a key member of our team, you will be responsible for advocating on behalf of insurance carriers, third-party administrators, and self-insured employers in workers' compensation cases.Key ResponsibilitiesPrepare client...
-
Workers Compensation Defense Attorney
3 weeks ago
California, United States Career Consulting Partners Full timeJob Title: Workers Compensation Defense AttorneyCareer Consulting Partners is seeking a skilled Workers Compensation Defense Attorney to join our team. As a Workers Compensation Defense Attorney, you will be responsible for handling workers' compensation defense cases throughout Southern California.Key Responsibilities:Conduct legal research to build...
-
Workers' Compensation Defense Attorney
1 month ago
San Francisco, California, United States Lewis Brisbois Full timeWorkers' Compensation Defense Attorney OpportunityAt Lewis Brisbois, we are seeking a skilled Workers' Compensation Defense Attorney to join our team in San Francisco, CA. As a member of our Workers' Compensation Practice, you will represent third-party administrators, insurance carriers, and employers against employee claims.Key Responsibilities:Defend...
-
Workers Compensation Attorney
3 weeks ago
California, USA, United States Stealth Law Firm Full timeJob Title: Workers Compensation Associate AttorneyWe are seeking a highly skilled Workers Compensation Associate Attorney to join our team at Stealth Law Firm.Key Responsibilities:Advocate on behalf of insurance carriers, third-party administrators, and self-insured employersPrepare correspondence to clientsDraft pleadingsAttend court appearancesManage...