Workers Compensation Claims Adjuster | CA experience

Insurance Placement Solutions (IPS) has an immediate opening for a Workers’ Compensation Claims Adjuster with our client. This is a temporary remote opportunity for candidates located within California.

In this role, you’ll manage a caseload of complex California workers’ compensation claims, including litigated and high-exposure files. You’ll investigate, evaluate, and resolve claims while ensuring compliance with California statutes, client guidelines, and industry best practices.

Workers’ Compensation Claims Adjuster Responsibilities

• Investigate and analyze complex workers’ compensation claims to determine compensability and benefit eligibility
• Manage litigated and high-exposure indemnity claims from inception through resolution
• Develop and execute strategic claim action plans to achieve timely claim resolution
• Establish, monitor, and adjust claim reserves throughout the life of each claim
• Calculate and issue indemnity and medical benefit payments accurately and timely
• Prepare and submit required state filings within statutory deadlines
• Coordinate with defense counsel, medical providers, investigators, and other vendors
• Identify and pursue subrogation opportunities and other available recoveries
• Utilize cost containment strategies and medical management resources
• Maintain accurate claim documentation and provide timely communication with claimants, clients, and internal stakeholders
• Ensure all claim handling complies with California workers’ compensation regulations, client service requirements, and company best practices

Qualifications

• Minimum 3 years of California workers’ compensation claims handling experience required
• Experience handling complex, litigated California workers’ compensation claims
• Strong knowledge of California workers’ compensation statutes and claims handling procedures
• Excellent analytical, negotiation, and decision-making skills
• Strong written and verbal communication abilities
• Ability to independently manage a complex caseload in a remote environment

Certification

• OSIP Certification is required

Education

• Bachelor’s degree preferred
• Professional claims certifications are a plus

Work Arrangement

• Fully remote position
• Candidates must reside within California
• Temporary opportunity

About Insurance Placement Solutions

Insurance Placement Solutions is a staffing and recruiting firm specializing in the insurance industry. Our clients rely on us to quickly fill temporary, temp-to-hire, and direct hire openings while maintaining operational continuity. We provide job seekers with access to exclusive opportunities at leading insurance organizations that are often not advertised publicly.