Workers' Compensation Senior Claims Representative

The Hartford • Brea, CA

8d • $64,000 - $96,000 • Remote

About The Position

The Senior Claim Representative plans, recommends, and executes investigations of workers’ compensation claims. The role manages claim valuation, disposition, and settlement while providing excellent customer service and adhering to corporate claim settlement policies, established procedures, and statutory, regulatory, and ethical requirements. This position is 100% remote and open only to candidates who reside in California. The scheduled hours are Monday through Friday during core business hours, with five weeks of training. The start date is January 19, 2027. The annualized base pay range is $64,000–$96,000. Additional compensation may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition.

Requirements

• At least 2 years of workers’ compensation claim-handling experience.
• Certification exams and adjusting licenses as required by the state.
• Outstanding interpersonal skills.
• Strong focus on delivering outstanding customer service.
• Strong written and verbal communication skills.
• Consistent high performance and achievement over the course of one’s career.
• Excellent time-management skills and ability to manage competing priorities.
• High school diploma required.

Nice To Haves

• California Self Insured License strongly preferred.
• Bachelor’s degree preferred.

Responsibilities

• Effectively manage workers’ compensation claims, ensuring timely investigations and financial accuracy.
• Provide benefit oversight, determine appropriate file disposition, and adhere to statutory guidelines for all claims.
• Work with professional resources, including doctors, nurses, attorneys, and regulators, to support claimants’ recovery.
• Establish and maintain productive customer relationships to provide exceptional service.
• Gather and analyze information to inform claim decisions using critical thinking skills.
• Calculate disability benefit rates and claim financial exposures accurately.
• Use contemporary technology to achieve accurate and efficient claim outcomes.
• Demonstrate professional diplomacy in interactions with customers.
• Contribute to a collaborative culture that maximizes operational performance and employee engagement.
• Embrace continuous improvement.

Benefits

• Additional compensation may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED