Senior Workers Compensation Claims Examiner

Responsibilities

• Independently manage a caseload of California workers' compensation claims from assignment through resolution
• Investigate claims, evaluate compensability, and determine appropriate claim handling strategies
• Review coverage, liability, medical documentation, and claim exposure in accordance with California regulations
• Establish and manage reserves based on claim exposure and ongoing developments
• Manage complex indemnity claims, including litigated files and settlement negotiations
• Cookordination with defense counsel, medical providers, employers, and other stakeholders throughout the claims process
• Maintain complete, accurate, and timely documentation within the claims management system
• Provide guidance and claim recommendations on complex files as needed

Requirements

• 5+ years of experience handling California workers' compensation claims
• Experience managing indemnity claims
• Experience handling litigated workers' compensation claims
• Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation
• Strong knowledge of California workers' compensation laws, regulations, and claims handling practices
• Experience developing claim resolution strategies and negotiating settlements
• Strong analytical, decision-making, and problem-solving skills
• Excellent verbal and written communication skills
• Strong organizational skills with the ability to manage multiple priorities in a remote environment
• Proficiency with Microsoft Office and claims management systems

Qualifications

• High school diploma or equivalent
• Additional education beneficial
• Current California Adjuster Certification, OSIP/SIP self-insured qualification, or Certified Workers' Compensation Professional (CWCP) designation

Skills

• Knowledge of California workers' compensation laws and regulations
• Ability to develop claim resolution strategies and negotiate settlements
• Strong analytical, decision-making, and problem-solving skills
• Excellent verbal and written communication skills
• Strong organizational and multitasking abilities
• Proficiency with Microsoft Office and claims management systems

Benefits

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
• Familial Care: Paid maternity leave and paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

Pay

The base compensation range for this position is $95,000 - $110,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity. Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.