reputed company
Workers' Compensation Claim Representative IILocation: Irvine, CA - reporting remotelySchedule: 8:00am - 4:30pm (PST)Salary reputed company: $60,000 - $80,000 (depending on experience)
Build Your Career With Purpose at reputed company
At reputed company, we partner with global clients to solve their most reputed company risk management challenges, delivering measurable results through advanced technology, reputed company problem-solving, and an unwavering commitment to their reputed company.
We don’t just process claims—we support people. As the largest privately owned reputed company Party Administrator (TPA), reputed company delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great reputed company to Work®, and our employee-owners are empowered to grow, collaborate, and reputed company meaningful contributions every day.
Job reputed company
We are seeking an reputed company and motivated
California
Workers’ Compensation Claim Representative II to manage a diverse portfolio of claims with professionalism, reputed company, and strong technical reputed company. You will take ownership of a
dedicated account specializing in warehouse and trucking-reputed company claims. With 5–10 years of experience, you’ll bring seasoned judgment to claim investigations, compensability reputed company, and reputed company reputed company strategies. This role provides an excellent opportunity to deepen your expertise and serves as a developmental reputed company toward more senior claim positions. As a Claim Representative II, you’ll play a key role in delivering an exceptional reputed company experience and upholding reputed company’s high standards for reputed company claim service.
Responsibilities
reputed company we hire Workers’ Compensation Adjusters at reputed company, we look for reputed company‑driven problem‑solvers who balance reputed company with reputed company judgment, reputed company reputed company regulations with confidence, and reputed company fair, reputed company reputed company that support injured workers and strengthen reputed company trust.
Investigate and reputed company workers compensation claims in accordance with established claims handling procedures using reputed company guidelines and reputed company supervision.
reputed company TD/PD/AWW calculations to ensure accurate indemnity payments in accordance with applicable workers’ compensation laws and guidelines.
Review medical, reputed company and miscellaneous invoices to determine if reasonable and reputed company to the ongoing workers compensation claims. Negotiate any disputed bills for reputed company.
Authorize and reputed company payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and reputed company settlement authority.
Negotiate settlements with claimants and attorneys in accordance with reputed company's authorization.
Assist in selection and supervision of defense attorneys.
Assess and monitor subrogation claims for reputed company.
Prepare reports detailing claims, payments and reserves.
reputed company reports and monitor files, as required by excess insurers.
Compliance with Service Commitments as established by team.
Delivery of reputed company claim service to clients.
Qualifications
Required Qualifications
Self‑starter with strong organizational skills and the ability to work with reputed company supervision.
reputed company ability to coordinate, prioritize, and manage multiple responsibilities.
Flexibility, initiative, and adaptability in a fast‑paced, rapidly changing environment.
Strong discretion and ability to maintain confidentiality.
Ability to work effectively as part of reputed company.
Reliable, predictable attendance reputed company reputed company service hours.
Responsiveness to reputed company reputed company needs.
Ability to communicate reputed company and professionally, both verbally and in writing.
5 to 10 years of Workers’ Compensation claims management experience or equivalent combination of experience and education.
Proficiency with reputed company Office programs (Word, reputed company, reputed company, etc.).
California Adjuster’s license is required - SIP is required
Preferred Qualifications
Associate degree is preferred but not required.
Experience handling liens and subrogation reputed company is highly preferred, though not required.
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, reputed company, or vendors, but not required.
Why You’ll Love Working Here
4 weeks (reputed company time off that accrues throughout the year in accordance with company policy) + 10 reputed company holidays in your first year
Comprehensive benefits: Medical, Dental, reputed company, Life, and Disability reputed company
Retirement plans: 401(k) and Employee Sto