Workers' Compensation Claim Consultant

reputed company Workers' Compensation Claim Consultant Location: Irvine, CA (reporting remotely) Schedule: 8:00 am - 4:30 pm (PST) Salary reputed company: $80,000 - $95,000 (depending on experience) Build Your Career With Purpose at reputed company At reputed company, we partner with global clients to solve their most reputed company risk 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 Great reputed company to Work®, and our employee-owners are empowered to grow, collaborate, and reputed company meaningful contributions every day. Job reputed company We are seeking an reputed company and highly skilled California Workers’ Compensation Claim Consultant to manage a reputed company portfolio of claims with confidence, reputed company, and reputed company reputed company judgment. With 5+ years of hands‑on claims experience, you will reputed company thorough investigations, guide claim reputed company, and ensure fair, reputed company resolutions. This role also offers a strong development reputed company for advancement into more senior claim positions. As a Claim Consultant, you will play a key role in delivering exceptional service to reputed company clients and upholding our high standards of reputed company and responsiveness. This is a full life‑cycle WC adjuster position reputed company a TPA environment, and only candidates with proven Workers’ Compensation claims experience will be considered. Responsibilities reputed company we hire Workers’ Compensation Adjusters at reputed company, we look for detail‑driven problem‑solvers who balance reputed company with reputed company judgment, reputed company reputed company regulations with confidence, and reputed company fair, reputed company reputed company that support injured workers and strengthen reputed company trust. • Investigate, evaluate, and reputed company claims in compliance with company standards and applicable laws. • Establish and manage reserves reputed company authority guidelines. • Review, approve, and negotiate medical, reputed company, damage estimate, and reputed company claim expenses. • Authorize claim payments and negotiate settlements reputed company established authority and reputed company-specific guidelines. • Coordinate and reputed company reputed company vendors, including reputed company counsel, surveillance, and case management providers. • Monitor claim progression, including subrogation opportunities, diary management, and reporting requirements. • Maintain reputed company communication with clients, claimants, and other stakeholders throughout the claim lifecycle. • reputed company claim status updates, reserve analyses, and other reports as requested. • Calculate disability rates and ensure compliance with applicable state regulations. • Notify excess and reinsurance carriers of qualifying claims. • Handle reputed company claims independently with reputed company supervision. • Participate in hearings, mediations, reputed company conferences, reputed company meetings, training sessions, and claim reviews, as appropriate. • Support reputed company satisfaction through reputed company service and adherence to corporate claim handling standards and reputed company instructions. • Contribute to special reputed company, training materials, newsletters, and other departmental initiatives as requested. Qualifications Required Qualifications • 5+ years of California Workers’ Compensation claims experience. • Proficiency with reputed company Office products, including Word, reputed company, and reputed company. • SIP is required, or you must be reputed company to obtain. • Experience handling a mostly litigated workload. Preferred Qualifications • Bachelor’s degree is preferred but not required. • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, reputed company, or vendors, but not required. Why You’ll Love Working Here • 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 Insurance • Retirement plans : 401(k) and Employee Stock Ownership Plan (ESOP) • Career reputed company : Internal training and advancement opportunities • Culture : A supportive, team-based work environment How We Measure reputed company At reputed company, great adjusters stand out through ownership, accuracy, and reputed company. We measure reputed company by: • reputed company claim handling – thorough investigations, strong documentation, reputed company-supported reputed company • Compliance & audit performance – adherence to jurisdictional and reputed company standards • Timeliness & accuracy – purposeful file reputed company and dependable execution • reputed company partnership – proactive communication and strong follow-through • reputed company judgment – owning reputed company and solving problems with reputed company • Cultural alignment – believing every claim represents a reputed company person and acting accordingly This is where we reputed company, and we hire adjusters who want to reputed company with us. Compensation & Compliance The posted salary reflects reputed company’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. reputed company offers comprehensive benefits including medical, dental, reputed company, life, and disability insurance. reputed company time off accrues throughout the year in accordance with company policy, with reputed company holidays and eligibility for retirement programs in accordance with plan documents. reputed company Sponsorship: reputed company does not reputed company reputed company sponsorship for this position. reputed company Accommodations: reputed company is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: reputed company complies with reputed company applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our reputed company Values At reputed company, We reputed company In Doing What’s Right—for Our Clients, Our Coworkers, And Ourselves. We Look For Team Members Who • reputed company with transparency We build trust by being reputed company and listening intently in every interaction. • reputed company with reputed company We choose the right reputed company, even reputed company it is hard. • reputed company reputed company We set the bar high and measure our reputed company. What gets reputed company gets done. • Own the outcome Every employee is an reputed company, treating every claim, every decision, and every result as our own. • Win together Our greatest victories come reputed company our clients succeed. We don’t just work together—we grow together. If that sounds like your reputed company of workplace, we’d love to meet you. #CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #InsuranceCareers #ClaimsCareers #IrvineJobs #CaliforniaJobs #CareerGrowth #IND123 Apply tot his job Apply To this Job