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Adjudicate lost-time workers' compensation claims for clients, investigate exposures, negotiate settlements within authority, communicate with claimants/clients, and report to excess carriers while meeting client-specific service expectations.

Manage and adjudicate complex workers' compensation claims, including investigation, negotiation, settlement, litigation and rehabilitation coordination. Communicate with claimants, clients, and excess carriers, meet service expectations, and ensure SIP licensing and California jurisdiction compliance.

Lead audit and quality reviews for liability claims, identify trends and knowledge gaps, provide feedback, coaching and training, act as technical contact for complex cases, manage quality for key clients and retain a small caseload to maintain hands-on claims experience.

Entry-level claims trainee to complete a 4-week training program and onboard into workers' compensation claims adjusting. Responsibilities include investigating claims, communicating with stakeholders, determining coverage and benefits, documenting files, administering benefits, and participating in meetings under close supervision.

Support and maintain claims management systems, manage security access and logins, process claim updates and adjustments, queue claims for Managed Care, run reconciliations, gather audit data, provide telephone support, and collaborate with internal teams to ensure policy compliance.

Manage complex workers' compensation claims from investigation through resolution, including reserve setting, benefit payments, litigation management, subrogation/recoveries, vendor coordination, and client/claimant communication. Negotiate settlements, ensure statutory filings, and use cost-containment strategies to achieve timely, compliant claim outcomes.

Prepare and reconcile general ledger and sub-ledger accounts, post monthly journal entries, support month-end close and consolidation, perform account analysis, client audits, ad hoc reporting, and support audits and quality programs.

Adjudicate California workers' compensation claims by investigating exposures, negotiating settlements, communicating with claimants, clients, and carriers, and resolving claims within service expectations and client requirements.

Ensure quality and regulatory compliance for California workers' compensation claims. Review and analyze claim processes and reports, design training and technical materials, support audits and regulatory interactions, advise on claim strategy, support compliance projects and communications, and collaborate with internal teams to mitigate legal and financial exposure.

Coordinate pricing and design for new and renewal client programs, analyze financial and claims data, support program implementations, develop pricing models, generate ad-hoc reports, and provide billing/contract guidance while partnering with operations, legal, and management.