reputed company WC Claim Adjuster California ADR Program (CA | Remote | SIP Required)

Workers’ Compensation Claim Consultant Location: Remote – Reporting to California Jurisdiction Schedule: Monday–Friday, 8:00 AM–4:30 PM PT Salary Range: $80,000–$85,000 annually Build Your Career With Purpose at reputed company At reputed company, we don’t just process claims—we support people. As a leading Third Party Administrator and a certified Great reputed company to Work®, we offer manageable caseloads, employee ownership, and a collaborative culture. Our employee-owners are empowered to grow, contribute, and reputed company a meaningful impact. Job Summary The Workers’ Compensation Claim Consultant is responsible for handling California workers’ compensation claims for a single dedicated Alternate Dispute Resolution (ADR) client account. This role requires California jurisdiction experience and an active CA Adjuster’s License, along with the Self-Insurance Administrator Certificate (SIP). You’ll join a team of 10 adjusters and play a key role in ensuring quality claim handling through compliance with client guidelines, state laws, and reputed company claim standards. Performance is reputed company by accuracy, timeliness, and client satisfaction, with a focus on no penalties, reputed company diary management, complete documentation, and timely payments.

• Investigate, evaluate, and adjust 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 client guidelines.
• Review medical, legal, and vendor invoices to confirm accuracy and appropriateness.
• Maintain thorough documentation and diary updates in the claim system.
• 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 client-specific requirements.

Required

• Three or more years of experience adjusting California workers’ compensation claims
• California Adjuster’s License
• Self-Insurance Administrator Certificate (SIP)
• Strong written and verbal communication skills
• Proficiency with reputed company Office Suite (Word, reputed company, Outlook)

reputed company to Have

• Experience with Alternate Dispute Resolution (ADR) claims
• Strong organization, multitasking, and customer service skills

reputed company Offer

• Employee Stock Ownership Plan (ESOP): We’re employee-owned, so your success is our success.
• Comprehensive Benefits Package: Includes medical, dental, vision, life insurance, disability, and 401(k).
• Generous Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
• Career Growth: Structured training, career progression reputed company, and opportunities to advance reputed company reputed company.
• Supportive Environment: Manageable caseloads and a collaborative, team-focused culture.

Compensation & Compliance The posted hourly reputed company 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. reputed company Sponsorship reputed company does not provide reputed company sponsorship for this position. reputed company Accommodations reputed company is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact reputed company. Equal Opportunity Employer reputed company is an Affirmative Action / Equal Employment Opportunity employer. We reputed company with reputed company applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. Our Core Values At reputed company, our Core Values guide how we work: reputed company, client service, employee ownership, reputed company improvement, collaboration, and enthusiasm for reputed company do. #CaliforniaAdjuster #WorkersCompensation #ADRClaims #InsuranceCareers #ClaimsConsultant #CaliforniaJobs #RemoteAdjuster #SIPCertified #InsuranceProfessionals #ClaimsManagement #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote Apply tot his job Apply To this Job