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Role Description

We are looking for an experienced Workers’ Compensation Claim Specialist to join our remote team supporting multiple California jurisdiction PEO accounts. In this role, you’ll be trusted to manage your files independently while contributing to a larger team focused on service excellence, compliance, and client partnership.

This position offers the stability of dedicated clients, manageable caseloads, and regular collaboration with a team of seasoned WC professionals. A one-week, in-person onboarding and connection session at our Scottsdale office is available to help you integrate seamlessly into the team.

Please note: This is not an HR, administrative, consulting, or advisory support role. This is a true adjusting position. Candidates must have proven experience conducting full investigation, evaluation, negotiation, and resolution of workers’ compensation claims, with end-to-end file ownership and decision-making authority. Applicants without direct claims adjusting experience will not be considered.

• Investigate, evaluate, and adjust California workers’ compensation claims in compliance with state regulations, CCMSI handling standards, and client instructions.
• Establish and maintain accurate reserves and thorough documentation within assigned authority levels.
• Review, authorize, and process medical, legal, and indemnity payments.
• Negotiate claim settlements aligned with jurisdictional guidelines and industry best practices.
• Maintain consistent, professional communication with clients, claimants, attorneys, and providers.
• Participate in claim reviews, quality audits, and team discussions to support consistency and compliance.
• Deliver excellent client service through timely, detailed, and thoughtful claim handling.

Qualifications

• Minimum of 10 years of workers’ compensation claim adjusting experience.
• Proficiency in Microsoft Office (Word, Excel, Outlook).
• Strong written and verbal communication skills.
• Proven ability to manage deadlines and multiple priorities effectively.
• California jurisdiction experience required.

Requirements

• California SIP certification (preferred).
• Claim review presentation experience (preferred).
• AIC, ARM, or CPCU designation (preferred).

Benefits

• 4 weeks PTO + 10 paid holidays in your first year.
• Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance.
• Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP).
• Career growth: Internal training and advancement opportunities.
• Culture: A supportive, team-based work environment.