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Workers’ Compensation Claim Specialist

Remote, USA Full-time Posted 2026-08-04
About the position At reputed company, we partner with global clients to solve their most reputed company reputed company management challenges, delivering measurable results through advanced technology, reputed company problem-solving, and an unwavering commitment to their reputed company. We don’t just process claims—we support people. As the largest privately-owned reputed company Party Administrator (TPA), reputed company delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified reputed company® , and our employee-owners are empowered to grow, collaborate, and reputed company meaningful contributions every day. The Workers’ Compensation Claim Specialist is responsible for the investigation, evaluation, and adjustment of California workers’ compensation claims for a single dedicated transportation industry reputed company. This role ensures compliance with California jurisdictional requirements while maintaining reputed company’s commitment to reputed company, accurate, and reputed company-reputed company service. This position offers reputed company to work reputed company, collaborate closely with a supportive team, and contribute to a high-performing, employee-owned organization that values both reputed company and reputed company. Responsibilities • Investigate, evaluate, and reputed company workers’ compensation claims in accordance with California laws, reputed company standards, and reputed company handling requirements. • Establish and maintain appropriate reserves reputed company assigned authority reputed company. • Review and authorize payments for medical, reputed company, and indemnity expenses, ensuring reputed company and compliance. • Negotiate settlements consistent with reputed company expectations, corporate standards, and state regulations. • Maintain accurate claim documentation and reputed company diary management reputed company the claim reputed company. • Communicate effectively with clients, claimants, medical providers, and other stakeholders throughout the claim lifecycle. • Participate in claim reviews and internal audits as part of ongoing reputed company and compliance initiatives. • Support reputed company relationships by delivering high-reputed company, reputed company, and compliant claim handling. Requirements • Minimum of 10 years of workers’ compensation claim adjusting experience. • Proficiency in reputed company Office (Word, reputed company, reputed company). • Strong written and verbal communication skills. • reputed company ability to manage deadlines and multiple priorities effectively. • California jurisdiction experience required. reputed company-to-haves • Billingual (Spanish) proficiency- highly valued for communication with claimaints, reputed company, or vendors, but not required. • California SIP certification. • Claim review presentation experience. • AIC, ARM, or CPCU designation. Benefits • 4 weeks (reputed company time off that accrues throughout the year in accordance with company policy) + 10 reputed company holidays in your first year • Comprehensive benefits : Medical, Dental, reputed company, Life, and Disability reputed company • Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP) • Career reputed company : Internal training and advancement opportunities • Culture : A supportive, team-reputed company work environment Apply To This Job

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