Claims Examiner - Workers Compensation
The Judge Group
Remote
Posted on May 27, 2026
Our client is currently seeking a Claims Examiner - Workers Compensation
Claims Examiner – Workers’ Compensation (CA)
Location: Remote (California Only)
Duration: Contract (3–6 months, potential extension)
Job Overview
Seeking an experienced Workers’ Compensation Claims Examiner to manage complex California-based claims, including indemnity and litigated cases. This role involves handling high-exposure claims, ensuring compliance with California regulations, and delivering timely, accurate claim resolution aligned with best practices and client expectations.
Key Responsibilities
- Analyze and manage complex workers’ compensation claims, including indemnity and litigated cases
- Investigate claims, gather relevant information, and determine claim exposure
- Develop and execute strategic action plans for timely claim resolution
- Negotiate settlements within assigned authority levels
- Establish, maintain, and adjust claim reserves throughout the claim lifecycle
- Calculate, approve, and issue benefit payments and adjustments accurately and on time
- Ensure compliance with California workers’ compensation laws and statutory requirements
- Prepare and submit required state filings within designated timelines
- Identify potential subrogation opportunities and pursue recovery where applicable
- Collaborate with internal teams, legal counsel, and stakeholders to manage claim outcomes
Required Qualifications
- Proven experience handling California Workers’ Compensation claims
- Strong background in Indemnity and Litigated claims
- Self-Insured Plans Certification (SIP) – required
- In-depth knowledge of CA workers’ compensation regulations and compliance requirements
- Strong skills in negotiation, investigation, and claims adjudication
- Ability to manage high-volume and high-exposure claims independently
Preferred Qualifications
- Ability to travel occasionally to Roseville, CA or Long Beach, CA for quarterly meetings/training
- Candidates located within driving distance of these locations preferred
Additional Details
- Contract duration: 3 to 6 months, with possible extension
- Fully remote role (must reside in California)
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