California Licensed Claims Adjuster

Job Summary

Managing all aspects of workers' compensation claims, the full-time California Licensed Claims Adjuster will independently handle claims from set-up to closure, ensuring compliance with statutory requirements while delivering exceptional customer service in a remote work environment.

Key responsibilities

• Independently manage the entire claims process, including investigation, compensability decisions, and timely administration of benefits
• Serve as a primary contact for partner agents and customers, providing guidance and status updates on claims
• Identify and pursue opportunities for claim mitigation and early resolution while advocating for a leading customer claims experience

Required qualifications

• High School Diploma or equivalent required; Bachelor's Degree or equivalent experience preferred
• Minimum of 2 years of workers' compensation claims experience required
• Claims experience working in California is required
• Knowledge of jurisdictional regulatory and statutory requirements is essential
• Demonstrated experience in claim adjudication, medical management, and litigation management