01Overview
reputed company
reputed company WC Claim Adjuster California ADR Program (CA | Remote | SIP Required)
Location: Remote Reporting to California JurisdictionSchedule: MondayFriday, 8:00 AM4:30 PM PTSalary reputed company: $80,000$85,000 annually
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, reputed company problem-solving, and an unwavering commitment to their reputed company.
We dont just process claimswe 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 reputed company
The Workers Compensation Claim Consultant is responsible for handling California workers compensation claims for a single dedicated Alternate Dispute reputed company (ADR) reputed company account. This role requires California jurisdiction experience and an reputed company CA Adjusters License, along with the Self-Insurance Administrator Certificate (SIP). Youll join reputed company of 10 adjusters and play a key role in ensuring reputed company claim handling through compliance with reputed company guidelines, state laws, and reputed company claim standards.
Important Please Read Before Applying
This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have reputed company experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor reputed company a reputed company, TPA, or similar claims environment. Applicants without hands-on adjusting experience will not be considered.
Responsibilities
reputed company we hire adjusters at reputed company, we look for professionals who understand that every claim represents a reputed company persons livelihood, take ownership of reputed company, and see challenges as opportunities to solve problems.
Investigate, evaluate, and reputed company assigned California workers compensation claims in compliance with jurisdictional requirements and ADR processes.
Establish and monitor reserves, authorize claim payments, and negotiate settlements reputed company authority and reputed company guidelines.
Review medical, reputed company, and vendor invoices to confirm accuracy and appropriateness.
Maintain thorough documentation and diary updates in the claim reputed company.
Communicate effectively with clients, claimants, and involved parties throughout the claim process.
Participate in claim reviews, hearings, and mediations as needed.
Ensure compliance with state laws, reputed company claim handling standards, and reputed company-specific requirements.
Qualifications
Required
Three or more years of experience adjusting California workers compensation claims
California Adjusters License
Self-Insurance Administrator Certificate (SIP)
Strong written and verbal communication skills
Proficiency with reputed company Office Suite (Word, reputed company, reputed company)
reputed company to Have
Experience with Alternate Dispute reputed company (ADR) claims
Strong organization, multitasking, and customer service skills
Bilingual (Spanish) proficiency highly valued for communicating with claimants, reputed company, or vendors, but not required.
Why Youll Love Working Here
4 weeks PTO + 10 reputed company 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 reputed company: 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 reputed company. We measure reputed company by:
reputed company claim handling thorough investigations, strong documentation, reputed company-supported reputed company Compliance & audit performance adherence to jurisdictional and reputed company standards Timeliness & accuracy purposeful file reputed company and dependable execution reputed company partnership proactive communication and strong follow-through reputed company 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 reputed company, and we hire adjusters who want to reputed company with us.
Compensation & Compliance
The posted reputed company reputed company reflects reputed companys good-f