Senior Workers Compensation Indemnity Claims Adjuster | Remote

The ideal candidate will have strong California workers’ compensation knowledge, experience independently managing a claim inventory, and the ability to communicate effectively with injured employees, medical providers, attorneys, and other involved parties. Candidates must reside in Fresno, CA, or the surrounding area.

Responsibilities

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  Manage a caseload of California workers’ compensation claims from initial reporting through closure.
  
  


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  Investigate new claims, evaluate compensability, and determine appropriate benefits in accordance with California workers’ compensation regulations.

  
  


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  Calculate and issue temporary disability, permanent disability, and other applicable indemnity benefits.

  
  


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  Review medical documentation, treatment recommendations, work restrictions, and disability status to determine appropriate claim activity.

  
  


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  Coordinate with injured employees, employers, medical providers, attorneys, and other parties throughout the life of the claim.

  
  


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  Establish appropriate reserves and regularly evaluate claim exposure based on medical, legal, and financial developments.

  
  

   

  
  

Qualifications

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  Minimum of 3 years of workers’ compensation claims adjusting or examining experience.

  
  


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  Strong knowledge of California workers’ compensation laws, regulations, and claims-handling requirements.

  
  


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  Experience handling claims from initial investigation through litigation and final closure.

  
  


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  Previous experience within a self-insured environment is highly preferred.

  
  


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  California Self-Insurance Administrator’s Certificate is required, or the ability to obtain the certification within the required timeframe.

  
  


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  Strong understanding of indemnity benefits, medical management, reserving, litigation, and settlement practices.

  
  

Salary & Benefits

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  $90,000–$110,000 (based on experience)

  
  


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  Comprehensive medical, dental, and vision insurance.

  
  


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  Employer-sponsored retirement benefits.

  
  


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  Paid vacation, sick leave, and holidays.

  
  


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  Employer-provided life insurance.