Job Title: California Workers’ Compensation Claims Adjuster

Job Summary:
Seeking an experienced Workers’ Compensation Claims Adjuster with a strong understanding of California regulations and an active Self-Insurance Plan (SIP) certification. This remote role is responsible for managing a full caseload of complex workers’ compensation claims, including indemnity, future medical, asbestos, and hearing loss cases. The ideal candidate will demonstrate sound judgment in claim evaluation, settlement negotiation, and compliance with regulatory standards.

Responsibilities:

• Analyze and determine liability and validity of workers’ compensation claims
• Review and manage a caseload of approximately 120 claims, including complex and long-tail exposures
• Calculate and balance temporary and permanent disability benefits
• Establish, monitor, and adjust reserves as appropriate
• Communicate with unrepresented claimants to negotiate settlements
• Assign investigative work as needed and monitor results
• Calculate compensation rates in compliance with California regulations
• Oversee medical treatment and ensure appropriateness of care
• Prepare settlement documents and review court decisions
• Maintain accurate documentation and records in accordance with legal and company standards
• Collaborate with defense counsel on litigated files

Qualifications/Requirements:

• High school diploma required; Bachelor’s degree preferred
• 5+ years of workers’ compensation claims handling experience, specifically in California
• Current California Self-Insurance Plan (SIP) Certification required
• Strong understanding of California WC regulations, disability calculations, and settlement procedures
• Experience managing a mix of indemnity, future medical, asbestos, and hearing loss claims
• Excellent written and verbal communication skills
• Ability to work independently in a remote environment

Compensation Package:

• Compensation: Between $70K-$100K (based on experience)
• Competitive benefits package, paid time off, professional development opportunities, etc.
• Remote work schedule available

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-MM10

Job Description:

We are seeking a detail-oriented and experienced Medical Only Claims Adjuster with a strong background in Pennsylvania Workers' Compensation claims. This role is ideal for a self-motivated professional who excels at managing medical-only claims from inception to resolution, ensuring timely and accurate benefit delivery while maintaining compliance with PA workers' compensation regulations.

• Investigate, evaluate, and manage medical-only workers’ compensation claims in the state of Pennsylvania
• Review and analyze medical reports and treatment plans for appropriateness and compliance
• Coordinate with medical providers, employers, and injured employees
• Ensure timely payments and proper documentation in accordance with PA Workers’ Compensation Act
• Maintain accurate and thorough claim files and system notes
• Monitor claim progress and close claims efficiently and appropriately
• Collaborate with team members, supervisors, and legal staff when needed

Requirements:

• Minimum 2 years of experience handling Medical Only Workers’ Compensation claims in Pennsylvania
• Strong knowledge of PA Workers’ Compensation laws and regulations
• Experience with claim management systems (e.g., Origami, RiskMaster, JURIS, etc.)
• Excellent communication and customer service skills
• Ability to manage multiple claims and meet deadlines
• High attention to detail and organizational skills

Salary/Benefits:

• $50,000 - $55,000 annual base salary plus bonus
• Competitive Medical, Dental, Vision and Life plans
• Medical benefits effective on 1^st day of employment
• Employer matching 401(k) plan

#LI-PR1

We are seeking an experienced Senior General Liability Claims Manager to join our client's claims team. In this role, you will be responsible for investigating, evaluating, negotiating, and resolving complex premise liability claims across multiple jurisdictions. The ideal candidate will bring strong technical expertise, a commitment to superior customer service, and the ability to manage a high-volume caseload effectively.

Salary

• $110,000 to $140,000+/year total compensation (based on experience)
• Annual bonus potential
• Comprehensive benefits package (health, dental, vision, 401k, etc.)
• Opportunities for professional development and advancement

Job Description

• Investigate, evaluate, and resolve moderate to complex general liability claims, with a focus on premises liability
• Analyze coverage and liability, determine compensability, and assess damages
• Communicate effectively with insureds, claimants, attorneys, vendors, and internal teams
• Review medical records, incident reports, contracts, and other evidence to support claim decisions
• Accurately document claim activity and maintain a proactive file strategy
• Attend mediations, settlement conferences, and provide litigation management as needed
• Stay current with jurisdictional laws and ensure regulatory compliance
• Provide mentorship and guidance to junior team members when appropriate

Requirements

• Minimum 5+ years of general liability claims experience, with a strong focus on premises liability
• Experience handling claims involving bodily injury, property damage, and legal liability issues
• Multi-jurisdictional claims handling experience is strongly preferred
• Strong investigative and negotiation skills
• Excellent written and verbal communication
• Familiarity with claims systems and Microsoft Office suite
• Insurance designations such as AIC or CPCU are a plus

#LI-MW1

OVERVIEW:

We are seeking a skilled Commercial Auto/General Liability Claims Adjuster to handle complex claims involving commercial auto and general liability exposures. The ideal candidate will have experience managing all phases of the claims process, including investigation, coverage analysis, liability determination, negotiation, and settlement. Strong analytical skills and a customer-focused approach are essential for success in this role.

COMPENSATION

• $75,000 - $85,000/year
• Annual bonus potential
• Full medical benefits
• 401(k) with company match
• Generous PTO and company paid holidays

REQUIREMENTS

• 3–5+ years of experience handling commercial auto and/or general liability claims.
• Strong knowledge of insurance policy language, state regulations, and industry standards.
• Excellent investigative, analytical, and negotiation skills.
• Proficiency in claims management systems and Microsoft Office Suite.
• Strong written and verbal communication skills.

RESPONSIBILITIES

• Investigate and evaluate commercial auto and general liability claims to determine coverage, liability, and damages.
• Conduct thorough coverage analysis and determine the extent of the policyholder’s liability.
• Interview claimants, witnesses, and other involved parties to gather essential information.
• Work with attorneys, medical providers, and other experts to assess claim value and potential exposure.
• Negotiate settlements with claimants, attorneys, and other parties while ensuring compliance with company policies and regulatory requirements.
• Prepare detailed reports and documentation to support claim decisions and settlements

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#LI-PR1

• $70K - $85K Annually (based on experience)
• Annual bonus potential
• Flex schedule and ability to work remotely
• 401k Plan
• Health and Dental Plan
• Generous PTO 

 #LI-PR1

Salary/Benefits

• $80,000 - $90,000+/year (Depending on Experience)
• Annual bonus of up to $5,000
• Medical benefits and 401(K)

Job Responsibilities

• Responsible for managing a caseload of general liability claims from inception to resolution.
• Investigate, evaluate, and negotiate claims to ensure fair and timely settlements for policyholders while effectively managing costs and exposures for the insurance carrier.
• Interpret general liability insurance policies to determine coverage and liability.
• Negotiate settlements with claimants, attorneys, and other involved parties to achieve fair and cost-effective resolutions.
• Evaluate settlement options and make recommendations based on liability exposure and policy provisions.

Requirements

• 5+ years of experience handling commercial general liability/bodily injury claims (slip & falls, premise, etc.)
• Previous experience handling litigated claims
• As many state adjuster's licenses as possible
• Experience handling claims for property management (e.g. apartment complexes) is required

#LI-MW1

INDTJG-CTT