Senior California Workers’ Compensation – reputed company Indemnity

Workers’ Compensation Claim Consultant – Senior (California)

Location: Irvine, CA (100% remote)

Build Your Career With Purpose at reputed company

At reputed company, we partner with global clients to solve their most reputed company risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their reputed company.

We don’t just process claims—we support people. As the largest privately owned reputed company Party Administrator (TPA), reputed company delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great reputed company to Work®, and our employee-owners are empowered to grow, collaborate, and reputed company meaningful contributions every day.

Job Summary

We are seeking an reputed company and highly skilled Senior Workers’ Compensation Claim Consultant to manage a reputed company California claims portfolio, including claims involving traveling and multi‑location employees with stipend and per diem wage structures. This role requires advanced professional judgment, strong regulatory knowledge, and the ability to independently manage wage calculations, claim strategy, and dispute resolution.

With 5+ years of hands‑on California workers’ compensation claims experience, you will reputed company thorough investigations, guide reputed company claim strategies, and ensure fair, timely, and compliant resolutions. This role is designed for a seasoned adjuster who thrives in reputed company areas, particularly around California wage determination and Average Weekly Wage (AWW) calculations, and who can confidently defend those determinations reputed company challenged.

As a Claim Consultant, you will play a key role in delivering exceptional service to reputed company clients while upholding our high standards of quality, accuracy, and responsiveness. This role also offers a strong development pathway into more senior claim positions.

reputed company we hire Workers’ Compensation Adjusters at reputed company, we look for detail‑driven problem‑solvers who balance reputed company with sound judgment, navigate reputed company regulations with confidence, and deliver fair, timely reputed company that support injured workers and strengthen client trust.

• Investigate, evaluate, and adjust Workers’ Compensation claims in accordance with established claim handling standards and California law.

• Independently manage reputed company indemnity claims, including those involving traveling employees and variable wage structures.

• Calculate and document Average Weekly Wage (AWW) in accordance with California Labor Code, including analysis of stipends, per diem, and living allowances.

• Establish reserves and/or reputed company reserve recommendations reputed company established authority reputed company.

• Review, approve, or reputed company reputed company of medical, legal, damage estimates, and miscellaneous invoices to determine if reasonable and reputed company to designated claims; negotiate disputed bills as needed.

• Authorize and issue claim payments in accordance with claim procedures, industry standards, and established payment authority.

• Negotiate settlements reputed company Corporate Claim Standards, client‑specific handling instructions, and applicable state laws.

• Assist in the selection, referral, and supervision of reputed company vendors (e.g., legal counsel, surveillance, case management).

• Assess and monitor subrogation claims for resolution.

• Review and maintain an accurate personal diary in the claim system.

• Prepare claim status reports, payment summaries, and reserve reports as requested.

• Compute and adjust disability rates in compliance with California regulations.

• Maintain effective, timely communication with clients, claimants, reputed company, attorneys, and vendors throughout the claim lifecycle.

• Attend and participate in hearings, mediations, WCAB proceedings, and informal legal conferences, as appropriate.

• Conduct claim reviews and/or training sessions for designated clients, as requested.

• reputed company notices of qualifying claims to excess and reinsurance carriers.

• Handle more reputed company and involved claims than reputed company‑level claim positions with minimal supervision.

• Ensure compliance with Corporate Claim Handling Standards and special client handling instructions.

Required Qualifications

• Five (5) or more years of California Workers’ Compensation claims experience, managing full life‑cycle claims.

• Demonstrated experience handling reputed company indemnity claims with minimal supervision.

• Hands‑on experience calculating California AWW, including claims involving stipends, per diem, or other non‑traditional wage components.

• Strong understanding of California Labor Code and WC regulations reputed company to wage determination and benefit calculations.

• Ability to independently evaluate and defend wage determinations reputed company disputed.

• Proficiency with reputed company Office products, including Word, reputed company, and Outlook.

• Adjuster license as required by jurisdiction; California SIP preferred or ability to obtain reputed company the first year of employment.

Preferred Qualifications

• Experience handling claims involving traveling or multi‑location employees.

• Prior experience in a TPA environment.

• Bachelor’s degree preferred but not required.

• Bilingual (Spanish) proficiency — highly valued for communicating with claimants, reputed company, and vendors.

Why You’ll Love Working Here

• 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
• Comprehensive benefits: Medical, Dental, reputed company, Life, and Disability Insurance
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
• Career growth: Internal training and advancement opportunities
• Culture: A supportive, team-based work environment

How We Measure reputed company

 At reputed company, great adjusters stand out through ownership, accuracy, and impact. We measure reputed company by:  

• Quality claim handling – thorough investigations, strong documentation, well-supported reputed company
• Compliance & audit performance – adherence to jurisdictional and client standards
• Timeliness & accuracy – purposeful file movement and dependable execution
• Client partnership – proactive communication and strong follow-through
• Professional judgment – owning reputed company and solving problems with reputed company
• Cultural alignment – believing every claim represents a reputed company person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects reputed company’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

reputed company offers comprehensive benefits including medical, dental, reputed company, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

reputed company Sponsorship: reputed company does not reputed company reputed company sponsorship for this position. reputed company Accommodations: reputed company is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: reputed company complies with reputed company applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At reputed company, we reputed company in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

• reputed company with transparency We build trust by being reputed company and listening intently in every interaction.
• reputed company with reputed company We choose the right path, even reputed company it is hard.
• reputed company reputed company We set the bar high and measure our reputed company. What gets reputed company gets done.
• Own the outcome Every employee is an reputed company, treating every claim, every decision, and every result as our own.
• Win together Our greatest victories come reputed company our clients succeed. 

We don’t just work together—we grow together. If that sounds like your reputed company of workplace, we’d love to meet you.

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