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Manages non-complex medical-only and minor lost-time liability claims under supervision. Responsibilities include verifying coverage, determining claim validity and compensability, establishing reserves, authorizing payments, communicating with stakeholders, following client and carrier guidelines, and collaborating on complex claims. Requires 1–3 years of auto or general liability claims experience, a current adjuster’s license, and strong analytical, organizational, communication, and computer skills.

Supervises workers’ compensation claims staff and ensures quality, productivity, regulatory compliance, and customer service standards. Provides coaching, training, performance evaluations, technical guidance, and support on complex claims, investigations, litigation, and resolution issues. Assists with recruiting and onboarding, participates in client claim reviews and presentations, and maintains claims handling expertise, required certifications, and licensing.

Manages lower-complexity workers’ compensation claims under senior supervision. Responsibilities include verifying coverage, determining claim compensability, setting reserves, authorizing payments within limits, communicating with claimants and clients, following carrier guidelines, and supporting claims reviews. The role requires strong communication, organization, problem-solving, Microsoft Office proficiency, and a current workers’ compensation license or certification.

Handles complex California workers’ compensation claims, including investigation, compensability decisions, reserves, payments, subrogation, litigation, settlements, recoveries, regulatory filings, and return-to-work coordination. Collaborates with case managers, attorneys, customers, claimants, and carriers while maintaining compliance, controlling claim costs, documenting action plans, and meeting service expectations.

Directs the daily operations of a designated employee team, maintains service quality, handles employee-related human resources matters, protects confidential information, reviews operational and financial reports, and may support limited marketing and sales activities. The role requires strong communication, organization, analytical skills, customer service orientation, computer proficiency, and knowledge of applicable laws and procedures.

Handles complex workers’ compensation claims by investigating compensability, establishing reserves, authorizing payments, coordinating return-to-work efforts, managing subrogation and litigation, negotiating settlements, reporting claims, and communicating with customers and claimants. Maintains regulatory compliance, claim documentation, customer relationships, and cost-containment action plans. Requires at least three years of claims experience, a claims adjuster license or certification, and ongoing workers’ compensation certification.

Reviews workers’ compensation claim files, analyzes defenses, negotiates and resolves medical treatment liens, gathers supporting documents, prepares hearing packets and legal pleadings, and participates in WCAB conferences, trials, and hearings. The role requires strong communication, organization, problem-solving, Microsoft Office proficiency, and knowledge of WCAB procedures, labor codes, and state regulations.

Handles complex Workers’ Compensation claims, including investigation, compensability decisions, reserves, payments, subrogation, litigation, settlements, recoveries, and return-to-work coordination. Communicates with claimants, customers, attorneys, case managers, and carriers while maintaining regulatory compliance, documentation, and professional relationships. Supports claims reviews and helps team members develop claims knowledge.

Manages lower-level, non-complex workers’ compensation claims under senior supervision. Responsibilities include verifying coverage, determining compensability, establishing reserves, authorizing payments within delegated limits, communicating claim status, following client and carrier guidelines, and assisting with complex claims. The role requires strong communication, analytical, organizational, and computer skills, along with the ability to work independently and collaboratively in a remote environment.

Handles complex California workers’ compensation claims, including coverage verification, compensability investigations, reserves, payments, subrogation, litigation, recoveries, settlement negotiations, and return-to-work coordination. The role communicates with customers, claimants, attorneys, case managers, and carriers; maintains regulatory compliance and claim documentation; and supports cost containment and favorable claim outcomes. This is a remote position requiring licensed or certified workers’ compensation claims-handling experience.