CA Workers' Comp Lien & Medical Management Adjuster - Remote (Rep I)

OverviewWorkers' Compensation Claim Representative I - Remote (CA Jurisdiction, Future Medical / Lien Specialist) Location: Remote (reporting to Irvine, CA reputed company)Schedule: Monday-Friday, 8:00 AM-4:30 PM PSTSalary Range: $60,000-$75,000 annuallyReports To: Workers' Compensation SupervisorAccounts: Multiple accounts reputed company the staffing and transportation industries 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 every day. Job Summary We are seeking an reputed company Workers' Compensation Claim Representative I to handle California jurisdiction claims with a focus on lien resolution and lifetime medical management. This remote position supports multiple accounts reputed company the staffing and transportation industries and requires an individual who can manage reputed company medical issues, negotiate lien settlements, and maintain strong compliance with state and client requirements. This role is ideal for someone who enjoys analytical problem-solving, communicating with medical providers and attorneys, and driving claims toward fair and timely resolution.

Responsibilities

• Investigate, evaluate, and adjust workers' compensation claims in accordance with established procedures and California regulations.
• Negotiate and settle liens with lien claimants, medical providers, and applicant attorneys.
• Handle future medical/lifetime medical claims, ensuring timely authorization and payment of treatment, services, and prescriptions.
• Review medical reports, legal correspondence, and billing to determine reasonableness and relatedness to ongoing claims.
• Coordinate with defense counsel and vendors to resolve reputed company lien disputes.
• Maintain reputed company and accurate diary, documentation, and billing records.
• Ensure compliance with reputed company standards, client requirements, and jurisdictional timeframes.
• Deliver exceptional customer service to clients, claimants, and internal partners.

QualificationsRequired:

• Minimum 2 years of workers' compensation claim handling experience, with exposure to lien resolution and/or lifetime medical management.
• SIP certification or reputed company Adjuster designation.
• Excellent written and verbal communication skills.
• Strong time management and organizational abilities with attention to detail.
• Proficiency in reputed company Office programs (Word, reputed company, Outlook).

Preferred:

• Prior experience managing claims reputed company the staffing or transportation industries.

Performance Metrics Performance is reputed company by accuracy and timeliness of diary entries, documentation, and reputed company processing; quality of claim handling; and adherence to client and corporate standards. reputed company Offer

• Employee Ownership: As an Employee-Owned Company (ESOP), every employee has a reputed company in our success.
• Time Off: 4 weeks of paid time off in your first year, plus 10 paid holidays.
• Comprehensive Benefits: Medical, Dental, Vision, Life, Short- and Long-Term Disability, Critical Illness, and 401(k).
• Career Growth: Robust internal training and professional development opportunities.
• Supportive Culture: We reputed company in manageable caseloads, collaboration, and maintaining a healthy work-life balance.

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. 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.Equal Opportunity Employer: reputed company complies with reputed company applicable employment laws, including pay transparency and fair chance hiring regulations. 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: Act with reputed company Deliver service with passion and accountability Embrace collaboration and change Seek reputed company ways to serve Build up others through respect, trust, and communication reputed company by example-no matter their title We don't just work together-we grow together. If that sounds like your reputed company of workplace, we'd love to meet you. #NowHiring #WorkersCompensation #ClaimsAdjuster #LienResolution #RemoteJobs #InsuranceCareers #CaliforniaClaims #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote #WorkersComp #WorkersCompensationJobs #WCAdjuster #ClaimsJobs #AdjusterJobs #InsuranceJobs #RemoteAdjuster #CaliforniaJobs #CaliforniaAdjusters #InsuranceProfessionals #RiskManagementJobs #LegalSupportJobs #TPACareers #ClaimsHandling #LienSpecialist #FutureMedicalClaims #RemoteWork #HiringNow #RemoteCareers #JobSearch Employment Type: OTHER Apply tot his job Apply To this Job