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Adjudicate complex California workers' compensation claims end-to-end: investigate, determine benefits, calculate reserves, negotiate settlements, manage litigation and filings, report to excess carriers, and ensure timely, compliant claim resolution.

Handles property and casualty insurance claims valued up to $15,000. Reviews policies and documentation, investigates losses, assesses damages, estimates costs, negotiates settlements, issues payments, maintains reserves, prepares reports, and manages regulatory filings. The role also involves claimant and witness communications, litigation support, salvage and subrogation activities, technology-enabled case management, and escalation of claims exceeding assigned authority.

Evaluates auto claims involving injured parties and manages first-party medical treatment under PIP and medical payment coverage. Reviews policy language, medical records, treatment, bills, coverage eligibility, fraud indicators, claim exposures, and reserves. Documents claim activity, communicates with claimants, providers, attorneys, clients, and vendors, negotiates claim resolutions, and issues authorized payments. Requires a state adjuster license and experience with PIP, medical payments, workers compensation, or related claims.

Administer and analyze leave requests (FMLA, state, military, company-specific), determine eligibility and benefits per client plans and regulations, communicate decisions to claimants and clients, track documentation, and meet quality and service standards.

Processes payroll actions resulting from leave and disability status changes, accurately enters absence and payroll data, reviews claim and timecard reports, and balances records according to paid-time-off policies. Responds to HR and internal business partner inquiries, supports absence program evaluation, contributes to special projects, and maintains data integrity and quality standards.

Adjudicate complex California workers' compensation claims, manage high-exposure/litigation cases, negotiate settlements, calculate reserves and benefits, coordinate vendors, pursue recoveries/subrogation, ensure proper documentation and timely statutory filings while maintaining client and claimant communications.

Processes low-level workers compensation claims, determines compensability and benefits, monitors reserves, files required documentation, coordinates action plans and return-to-work efforts, approves payments, and identifies subrogation opportunities. The role administers claims through resolution, negotiates settlements with general supervision, supports quality programs, and performs related duties in an on-site Glendale, California environment.

Analyzes and adjudicates workers compensation claims, investigates exposures, determines benefits, negotiates settlements, communicates with claimants and clients, and reports claims to excess carriers. The role requires California workers compensation jurisdictional knowledge, timely claim resolution, sound judgment, and compliance with service and client requirements.

Oversee technical and operational claims functions, ensuring compliance, quality, client relationships, staffing, training, budgeting and P&L for assigned clients. Manage internal quality reviews, enforce policies, hire and develop team members, and support organizational quality programs.

Provides administrative and clerical support to claims staff by entering new claims, updating notes and diaries, processing payments and mail, preparing correspondence and reports, arranging medical appointments, answering calls, and delivering customer service. Requires accurate computer work, organization, discretion, multitasking, and deadline management. Supports quality programs and completes additional assigned projects and office duties.