California Workers' Compensation Claims Adjuster
New
B
BrighterwayWorkers' compensation
Remote or California-based (United States)Full-TimeSenior
Salary not disclosed
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Job Details
- Experience
- At least five years handling California workers' compensation claims.
Requirements
- Have at least five years of experience handling California workers' compensation claims.
- Be able to handle California claims.
- Bring strong claim file-review skills.
- Use sound judgment on compensability, reserves, and settlement.
- Communicate clearly and patiently with injured workers, attorneys, and providers.
- Write precisely and be comfortable giving direct feedback to software people.
- A California SIP designation or active adjuster license is a plus.
- Experience at a TPA, carrier, or self-insured employer program in California is a plus.
- Experience with litigated files and settlement negotiation is a plus.
- Experience with claims system migrations is a plus.
Responsibilities
- Review claim files, identify missing information, and set clear next steps.
- Contact injured workers, explain documents, obtain signatures, and follow through with the WCAB to help finalize settlements.
- Keep accurate, timely notes and flag issues before they become delays.
- Review AI-generated summaries, chronologies, and risk flags, and correct them.
- Document California requirements, including benefit notices, UR and IMR, QME and AME, MPN, liens, C&R, and Stips, for the product team.
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