Workers’ Compensation Claims Adjuster II
Location: Brea, CA (Hybrid)
Pay Rate: $45-$50/hour
Duration: Contract with Potential for Full-Time Conversion
Our client is seeking an experienced Workers’ Compensation Claims Adjuster II to manage California workers’ compensation claims from investigation through resolution. This position offers a hybrid work schedule and the opportunity to join a well-established insurance organization with the potential for long-term career growth.
Responsibilities
- Manage a caseload of workers’ compensation claims, including investigation, evaluation, reserving, and claim resolution.
- Analyze policy coverage and determine compensability.
- Authorize payments and manage claim expenses within authority limits.
- Negotiate settlements and develop effective claim resolution strategies.
- Coordinate with attorneys, medical providers, nurse case managers, underwriters, agents, and insureds.
- Identify potential fraud concerns and coordinate with appropriate investigative resources.
- Maintain accurate claim documentation and prepare reports for management.
- Ensure compliance with California workers’ compensation regulations and industry standards.
Qualifications
- Minimum 3 years of workers’ compensation claims handling experience.
- California Claims Certification/License required.
- Strong knowledge of claims investigation, coverage analysis, reserving, and settlement negotiations.
- Experience handling complex claims and working with litigated files.
- Excellent communication, analytical, negotiation, and problem-solving skills.
- Proficiency with Microsoft Office and claims management systems.
- Bachelor’s degree or equivalent experience preferred.
- Professional designations such as AIC, CPCU, or similar are a plus.
Why Consider This Opportunity?
- Competitive pay of $45-$50/hour.
- Hybrid work environment with flexibility.
- Opportunity to work with an established insurance carrier.
- Potential for contract extension and full-time conversion.
Qualified candidates with California workers’ compensation claims experience are encouraged to apply.
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