Senior Workers Compensation Adjuster (California)- Work arrangement: Fully Remote (on-site as needed)
- Location: Roseville, CA
- Employment type: Direct Hire
- Hours: 40/week (8 hours/day)
- Compensation: 80,000- 99,000
Make a real impact for injured workers—while using your expertise to drive fair, timely outcomes on complex California workers’ compensation claims. If you thrive in high-stakes file ownership, strategic negotiation, and confident decision-making, this fully remote role offers the autonomy and challenge of a senior desk with the support of a collaborative claims organization.
Overview
We’re seeking a Senior Workers Compensation Adjuster to independently manage moderate-to-complex, high-value California workers’ comp lost-time claims with minimal supervision. You’ll lead investigations, evaluate coverage and exposure, manage litigation strategy, and mentor less-experienced claim handlers—while ensuring strong compliance and documentation throughout the claim lifecycle.
Key Responsibilities
- Own a desk of moderate-to-complex California workers’ compensation lost-time claims from assignment through resolution.
- Lead investigations, analyze coverage, and issue appropriate documentation (including reservation of rights and coverage letters).
- Set reserves, authorize payments, and make sound financial decisions within authority.
- Manage litigation and disputes, partnering with legal counsel and technical specialists to drive optimal outcomes.
- Identify risk transfer and subrogation opportunities.
- Maintain detailed, accurate claim file documentation and meet jurisdictional compliance requirements.
- Collaborate with internal and external partners (legal, underwriting, vendors, agents) and communicate clearly with stakeholders.
- Use tools and analytics to identify trends and improve consistency and efficiency.
- Mentor junior claim handlers and contribute to training and best-practice development.
Must-Have Qualifications
- 5–10+ years of workers’ compensation claims handling experience with an insurance carrier
- Ability to possess or obtain and maintain appropriate state adjuster license(s) and continuing education
- Proven capability negotiating complex, high-exposure claims, including litigation and compliance matters
- Strong written/verbal communication with an empathetic, professional customer approach
- Organized desk-management skills and comfort working independently in a remote environment
Nice-to-Have
- Bachelor’s degree (preferred) or equivalent combination of education and experience
#LI-AB1
#INDPRO