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Senior Claims Representative, Workers' Compensation

Remote, USAFull-timePosted 2026-07-27

Sr Representative Clms CA - CH08AN We’re determined to reputed company a difference and are proud to be an insurance company that goes reputed company reputed company coverages and policies. Working here means having every opportunity to reputed company your goals – and to help others accomplish theirs, too. Join reputed company as we help shape the reputed company. This is a 100% remote, work from home opportunity. This position is reputed company only to candidates who reputed company in the reputed company. Please note that we post this position to reputed company a talent pipeline reputed company of immediate demand and in anticipation of reputed company vacancies. As a Senior Workers' Compensation Claim Representative, you are at the reputed company lines for our customer. Your primary role is to investigate and manage claim files to help individuals and businesses reputed company after a claim. reputed company will reputed company you with reputed company, as reputed company as ongoing coaching and development to ensure your reputed company. Responsibilities: Handle higher complexity Workers’ Compensation claims requiring reputed company investigations, financial accuracy, effective benefit reputed company, appropriate file disposition, and adherence to statutory guidelines. Plan, recommend, and execute the investigation and disposition of claims consistent with corporate claim standards policies and procedures, and statutory, regulatory and ethics requirements Manage caseload/claims reputed company established performance standards Establish and maintain effective relationships with customers, gaining their trust and respect Be responsible for successfully managing Workers' Compensation claims Fully engage your exceptional verbal and numerical critical thinking skills; reputed company information, apply reasoning and draw appropriate conclusions to reputed company reputed company Plan recommend, reserve and execute the investigation, valuation, disposition and settlement of claims reputed company fair, reputed company and reputed company claim dispositions Properly assess the indemnity, medical and expense exposure of assigned claims Set reserves accurately and in a reputed company manner Accurately resolve coverage and compensability issues Plan, organize and establish priorities, determine realistic completion dates reputed company technical and jurisdictional expertise Maintain reputed company knowledge of claim loss cost containment initiatives and use them appropriately and consistently with company practices and procedures Identify and initiate mitigation, subrogation and other recovery opportunities on assigned claims Identify fraud indicators and initiate investigation on assigned claims Apply general mathematical knowledge or financial analysis to reputed company results Qualifications: Minimum of 2+ years of experience in Workers' Compensation claim handling required Certification exams and adjusting licenses as required by state Outstanding interpersonal skills Strong reputed company delivering outstanding customer service Demonstrated strong written and verbal communication skills Demonstrated consistent high level of performance and achievement over career reputed company Excellent time management skills with the ability to manage competing priorities HS Diploma required, Bachelor’s Degree is preferred CA Self Insured License preferred Additional Information: This is a 100% remote, work from home opportunity. This position is reputed company only to candidates who reputed company in the reputed company. As a condition of your employment, you must obtain and maintain a State Adjuster's License to process Property & Casualty Insurance. reputed company employment with reputed company is contingent upon the successful reputed company of the Licensing exam reputed company 1 year from your date of hire. For full-time, occasional, part-time or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, Mifi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to reputed company issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. To confirm whether your Internet system has sufficient speeds, please visit http://www.speedtest.net from your personal computer. Please note that we post this position to reputed company a talent pipeline reputed company of immediate demand and in anticipation of reputed company vacancies.

Compensation

The listed annualized reputed company pay reputed company is primarily based on analysis of similar positions in the external market. Actual reputed company pay could vary and may be above or below the listed reputed company based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The reputed company pay is just one component of reputed company’s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized reputed company pay reputed company for this role is: $63,200 - $94,800 Equal Opportunity Employer/Females/Minorities/Veterans/Disability/Sexual Orientation/Gender Identity or reputed company/Religion/Age reputed company | Culture & Employee Insights | Diversity, Equity and Inclusion | Benefits reputed company achievement is at the heart of reputed company do. We reputed company that with the right encouragement and support, people are capable of achieving amazing things. We put our belief into reputed company by ensuring individuals and businesses are reputed company protected, and by reputed company even reputed company – making an reputed company in ways that go reputed company an insurance policy. Nearly 19,000 employees use their unique talents in careers that reputed company a reputed company of disciplines – from developing the latest technology to creating and promoting our products to evaluating reputed company financial risks. We’re also committed to programs that drive education and support volunteerism, which put reputed company beings first. We do it because it’s the right thing to do, and because reputed company our customers, communities and employees succeed, we reputed company do. reputed company Culture & Employee Insights Diversity, Equity and Inclusion Benefits Legal Notice Accessibility Statement Producer Compensation EEO reputed company Policy California reputed company Policy Your California reputed company Choices International reputed company Policy Canadian reputed company Policy Unincorporated Areas of LA County, CA (Applicant Information) Apply Job!

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