Workers Comp

Workers' Compensation Claim Specialist Location?Remote-US (Reporting to Scottsdale, AZ)?|?Remote COMPENSATION & SCHEDULE$85,000-$96,000 annually (depending on experience)Monday-Friday, 8:00 AM-4:30 PM MSTFull-Time, W2Start date: TBD ROLE IMPACT This role exists to deliver accurate, compliant, and empathetic workers' compensation claim handling for California jurisdiction PEO accounts. You will own files end-to-end-driving timely investigation, evaluation, negotiation, and resolution while protecting client assets and supporting injured employees. Success is defined by audit performance, regulatory compliance, sound reserving, and consistent client satisfaction.Investigate, evaluate, and adjust California workers' compensation claims in compliance with state regulations, internal handling standards, and client instructionsEstablish and maintain accurate reserves and detailed documentation within assigned authority levelsReview, authorize, and process medical, legal, and indemnity paymentsNegotiate settlements aligned with California jurisdictional guidelines and industry best practicesMaintain professional communication with clients, claimants, attorneys, and medical providers while participating in claim reviews and quality audits Minimum Qualifications10+ years of full-cycle workers' compensation claim adjusting experience with end-to-end file ownershipDirect experience handling California jurisdiction claimsStrong written and verbal communication skills with the ability to manage deadlines and multiple priorities Core Tools & SystemsMicrosoft Office (Word, Excel, Outlook)Claims management systems (claim administration software platforms)Electronic document management systems (EDMS)Email and calendar platforms for stakeholder communicationVirtual meeting platforms (video conferencing tools) Preferred SkillsCalifornia Self-Insurance Plan (SIP) certificationClaim review presentation experienceAIC (Associate in Claims), ARM (Associate in Risk Management), or CPCU (Chartered Property Casualty Underwriter) designation

Created: 2026-03-10