California Workers’ Compensation Consultant

Marsh McLennan•Los Angeles, CA

2d•$92,500 - $197,100•Hybrid

About The Position

We are hiring a California Workers’ Compensation Consultant to join Marsh’s Claims Consulting Practice. This hybrid role (three days per week in-office) role blends deep technical mastery of California workers’ compensation law and claims practices with a consultative, outcomes-focused mindset. This position focuses on evaluating CA workers’ compensation claims, identifying and driving practical solutions, and improving claim and program performance. As a seasoned individual contributor, you’ll work independently to assess high-exposure, complex and litigated California Workers’ Compensation claims, collaborate with internal and external stakeholders, and help deliver measurable improvements and claim outcomes for clients.

Requirements

Collaborate effectively with TPAs, carriers, claim administrators, and clients to achieve efficient, compliant claim resolutions.
Use strong problem-solving skills to identify pivotal issues and recommend pragmatic strategies that move claims to resolution.
Lead case-level strategy conversations with adjusters, TPAs, carriers, defense counsel, and clients.
Own the quality of assigned deliverables and ensure work meets the practice’s standards for accuracy, clarity, and impact.
Apply advanced knowledge of claims, insurance, and risk management trends to generate actionable insights for clients.
Challenge existing practices and propose innovative, evidence-based solutions that improve quality, compliance, and performance.
Communicate findings clearly and persuasively to both operational and management-level audiences.
Support teammates by sharing expertise, contributing to process improvements, and mentoring less-experienced colleagues.
BA/BS degree in a relevant field or equivalent insurance/claims experience.
Minimum of 5 years’ significant experience handling California Workers’ Compensation claims, including complex and litigated files in both Insured and Self-Insured environments.
Demonstrated expertise with CA jurisdictional laws, claims processes, and resolution mechanisms.
Experience in claim management strategies that promote early resolution and effective settlements.
Proficient analytical skills and experience preparing client-facing reports and presentations.
Excellent verbal and written communication skills with demonstrated ability to influence claim outcomes through clear recommendations.
Comfort with Microsoft Office (Excel, PowerPoint, Word) and common RMIS or claims systems; willingness to travel as required.

Nice To Haves

Proven deductive reasoning and experience evaluating challenging claim situations to craft successful solutions.
Hands-on RMIS or claims system experience as an end user.
Prior leadership experience (2+ years) in a Team Lead, Account Services, or supervisory role with a carrier, TPA, or self-insured employer.
Practical experience with both insured and self-insured claim administration and regulatory requirements.
Track record of delivering results in fast-paced environments and managing competing priorities.
Ability to present complex concepts visually and verbally to senior leaders using Excel and PowerPoint.
A commitment to professional excellence and specialized expertise in the California workers’ compensation industry with industry recognized designations and certifications such as SIP, WCCA, CWCP, AIC, ARM

Responsibilities

Evaluate individual CA workers’ compensation claims, including complex and litigated matters, to identify root causes and improvement opportunities.
Lead strategy discussions and action planning with claim adjusters, TPAs, carriers, and client stakeholders to move claims to timely resolution.
Develop client-ready deliverables (reports, executive summaries, presentations, and recommendations) that clearly articulate findings, expected impact, and next steps.
Create and manage workplans for engagements or workstreams, track milestones, and ensure deliverable quality and compliance with practice standards.
Support implementation activities as needed (process redesign, KPI definition, settlement strategy, pilot testing, and change management).
Conduct audits and compare actual claim performance against industry best practices and client expectations.
Collaborate with practice leadership and cross-functional Marsh teams to escalate risks, align priorities, and surface opportunities to expand services.
Maintain continuous knowledge of CA jurisdictional laws, claims lifecycle best practices, and market trends to inform recommendations.
Contribute to knowledge management by documenting methodologies, templates, and lessons learned.