Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

Location: San Diego, CA (Hybrid) | Remote Considered

Employment Type: Temporary: 4-6 months (Possibility for extension or conversion based on business needs)

Pay: $38-$45/hr. DOE

Schedule: 37.5 hours/week | Flexible Schedule

We're seeking an experienced Workers' Compensation Claims Examiner to join a collaborative team managing workers' compensation claims from investigation through resolution. This role offers flexibility, a manageable 37.5-hour workweek, and the opportunity to work with a variety of stakeholders to achieve positive claim outcomes.

Schedule & Work Arrangement

• 37.5-hour workweek
• Flexible schedule
• Hybrid schedule for local employees:
  • Remote Mondays and Fridays
  • In-office Tuesdays, Wednesdays, and Thursdays
• Fully remote candidates may be considered if located outside the San Diego area

Responsibilities

• Manage a caseload of workers' compensation claims through the full claim lifecycle
• Investigate claims and determine compensability
• Establish and manage claim reserves
• Coordinate with injured workers, employers, attorneys, medical providers, and other stakeholders
• Develop action plans and strategies to move claims toward resolution
• Facilitate return-to-work and modified duty programs
• Review and authorize claim payments within authority limits
• All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.