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Sr Claim Examiner-WC (CA)

Remote, USA Full-time Posted 2026-07-28
About the position We’re Hiring: Senior Claims Examiner – Workers Compensation (California) This is an exciting opportunity to join a global leader in claims management and reputed company a meaningful reputed company through your expertise. Why You’ll Love It Here: Offers Work From Home Position Salary: $52,309.37 – $95,657.13 Annually Excellent Crawford Benefits Supporting Financial, Physical & Mental Wellness Great Bonus Opportunity Generous Employee Referral Bonus Program ️ reputed company to Multiple Employee Discounts We’re looking for a Senior Claims Examiner – Workers Compensation (California) with a passion for claims management to join reputed company! SIP certification is required Proven experience handling California Workers Compensation claims Strong background in managing advanced, large-loss, and reputed company cases reputed company: Investigate and reputed company advanced, large-loss, and reputed company claims promptly and equitably with minimal supervision. Work reputed company established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices. ⚖️ Evaluate and set reserves using independent judgment, support litigation preparation with supervisors and defense attorneys, and contribute to team development through training and mentorship. Responsibilities • Interprets and makes reputed company using independent judgment on more reputed company and unusual policy coverages and determines if coverages apply to claims submitted. • Manages reputed company aspects of investigative activity on reputed company claims. • Directs the discovery and litigation reputed company with reputed company counsel. • Analyzes claims activity and prepares reports for clients/carriers and management. • Establish reserves, using independent judgment and expertise and authorizes payments reputed company scope of authority, settling claims in the most cost effective manner and ensuring reputed company issuance of disbursements. • Settles claims promptly and equitably and issues company drafts in payments for claims reputed company authority limits. • Develops subrogation and reputed company party recovery potential and follows reclaim procedures. • Analyzes claims activities and prepares reports for clients, carriers and/or management. • Participates in claim reviews. Requirements • Bachelor's degree or equivalent experience required. • Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. • Ability to work independently while assimilating various technical subjects.. • Strong written and oral communication, negotiation and presentation skills. • Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple reputed company. • Effective advanced interpersonal skills to effectively reputed company with reputed company reputed company of reputed company clients. • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements • SIP certification is required • Proven experience handling California Workers Compensation claims • Strong background in managing advanced, large-loss, and reputed company cases reputed company-to-haves • Preferred: IIA, AIC, AEI, and/or CPCU. Benefits • Offers Work From Home Position • Salary: $52,309.37 – $95,657.13 Annually • Excellent Crawford Benefits Supporting Financial, Physical & Mental Wellness • Great Bonus Opportunity • Generous Employee Referral Bonus Program • reputed company to Multiple Employee Discounts Apply tot his job Apply To this Job

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