Workers' Compensation Senior Claims Representative
About The Position
The Senior Claim Representative plans, recommends, and executes investigations of workers’ compensation claims. The role provides customer service through claim valuation, disposition, and settlement while following corporate claim settlement policies and established procedures, including statutory, regulatory, and ethical requirements. This position is 100% remote and open only to candidates who reside in California. The schedule is 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; actual pay may vary based on factors including performance, proficiency, and competencies. Other rewards 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 customer-service focus.
- Strong written and verbal communication skills.
- Consistent high performance and achievement throughout 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
- Manage workers’ compensation claims, including timely investigations and financial accuracy.
- Oversee benefits, determine appropriate file dispositions, and adhere to statutory guidelines for claims.
- Work with professional resources such as doctors, nurses, attorneys, and regulators to support claimants.
- Establish and maintain productive business relationships with customers while providing exceptional customer service.
- Gather and analyze information to inform claim decisions.
- 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 supports operational performance and employee engagement.
- Embrace continuous improvement.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
