CA Workers’ Compensation Claims Supervisor

Summary

Seeking an experienced CA Workers’ Compensation Claims Supervisor with strong communication and organizational skills.

Responsibilities

• Supervise, mentor, and develop a team of California Workers' Compensation Claims Adjusters.
• Monitor individual and team performance, productivity, quality, and compliance with company standards.
• Conduct file reviews and provide technical guidance on complex claims handling.
• Assist adjusters with coverage analysis, compensability decisions, settlement authority, litigation strategy, and reserve accuracy.
• Ensure timely and accurate claim investigations, benefit administration, and claim resolution.
• Maintain compliance with California Workers' Compensation laws, regulations, and client service expectations.
• Coach team members through performance management, training, and professional development initiatives.
• Collaborate with management on staffing, workflow management, and operational improvements.
• Build and maintain strong relationships with clients, brokers, defense counsel, medical providers, and internal stakeholders.
• Participate in client meetings and provide claims updates as needed.

Qualifications

• 7+ years of California Workers' Compensation claims handling experience.
• 3+ years of supervisory or team lead experience overseeing Workers' Compensation Claims Adjusters.
• Active California Self-Insurance Plans (SIP) Certificate required or able to obtain one fairly quickly.
• Must reside in California.
• Strong knowledge of California Workers' Compensation statutes and regulations.
• Experience handling complex and litigated Workers' Compensation claims.
• Demonstrated leadership, coaching, and employee development skills.
• Excellent written and verbal communication abilities.
• Strong organizational, analytical, and decision-making skills.

Compensation Package

• Competitive salary range of $115K – $125K (depending on experience)
• Remote work available with company-provided equipment
• Growth opportunities within the organization and industry

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer’s discretion.

#LI-MW1

CA Workers’ Compensation Claims Adjuster

Summary

Seeking an experienced CA Workers’ Compensation Claims Supervisor with strong communication and organizational skills.

Responsibilities

1. Supervise, mentor, and develop a team of California Workers' Compensation Claims Adjusters.
2. Monitor individual and team performance, productivity, quality, and compliance with company standards.
3. Conduct file reviews and provide technical guidance on complex claims handling.
4. Assist adjusters with coverage analysis, compensability decisions, settlement authority, litigation strategy, and reserve accuracy.
5. Ensure timely and accurate claim investigations, benefit administration, and claim resolution.
6. Maintain compliance with California Workers' Compensation laws, regulations, and client service expectations.
7. Coach team members through performance management, training, and professional development initiatives.
8. Collaborate with management on staffing, workflow management, and operational improvements.
9. Build and maintain strong relationships with clients, brokers, defense counsel, medical providers, and internal stakeholders.
10. Participate in client meetings and provide claims updates as needed.

Qualifications

• 7+ years of California Workers' Compensation claims handling experience.
• 2+ years of supervisory or team lead experience overseeing Workers' Compensation Claims Adjusters.
• Active California Self-Insurance Plans (SIP) Certificate required.
• Must reside in California.
• Strong knowledge of California Workers' Compensation statutes and regulations.
• Experience handling complex and litigated Workers' Compensation claims.
• Demonstrated leadership, coaching, and employee development skills.
• Excellent written and verbal communication abilities.
• Strong organizational, analytical, and decision-making skills.

Compensation Package

• Competitive salary range of $110K – $120K (depending on experience)
• Remote work available with company-provided equipment
• Growth opportunities within the organization and industry

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer’s discretion.

#LI-MW1

About the Opportunity:
Our client, a respected Third-Party Administrator (TPA), is seeking a Workers’ Compensation Claims Supervisor to lead and develop a team of adjusters handling New York claims. This role is ideal for a hands-on leader who can drive claim performance, ensure regulatory compliance, and foster a high-performing team environment.

Compensation & Benefits:

• $95,000 - $115,000/year (based on years of experience)
• Performance-based bonus opportunities
• Comprehensive benefits package (medical, dental, vision)
• 401(k) with company match
• Flexible remote work environment

Qualifications:

• Active New York Adjuster’s License (Required)
• 5+ years of experience handling New York Workers’ Compensation claims
• 2+ years of supervisory or team lead experience preferred
• Strong knowledge of New York jurisdiction, statutes, and regulatory requirements
• Experience working within a TPA or insurance carrier environment
• Proven ability to manage and motivate a team in a high-volume environment
• Excellent leadership, organizational, and decision-making skills
• Strong communication and client-facing abilities

Key Responsibilities:

• Supervise, mentor, and develop a team of Workers’ Compensation Claims Adjusters handling New York claims
• Monitor claim files for quality, accuracy, and compliance with New York Workers’ Compensation laws and regulations
• Conduct regular file reviews and provide actionable feedback to improve performance
• Assist adjusters with complex, litigated, and high-exposure claims
• Ensure timely reserving, proper claim investigation, and strategic resolution of claims
• Collaborate with clients, attorneys, and internal stakeholders to ensure service expectations are met or exceeded
• Track and report on key performance metrics (closure rates, lag time, reserve accuracy, etc.)
• Support training initiatives and onboarding of new team members
• Maintain compliance with all regulatory and internal best practices

#LI-MW1