Workers' compensation hearings officer jobs near me - 23 jobs

At Abramson Labor Group, we're not just committed to defending employee rights-we're passionate about it. Whether you're up against a small business or a corporate giant, our highly skilled team of attorneys and legal professionals are ready to fight for you. Headquartered in vibrant Burbank, California, we focus on exclusively protecting employees throughout the entire state of beautiful California. Our dedicated attorneys, paralegals and legal assistants work tirelessly to secure the justice you deserve in all workplace disputes. We pride ourselves on delivering top-notch solutions with integrity, efficiency, and professionalism. Choose Abramson Labor Group and let us champion your cause with unwavering dedication. Job Description All candidates MUST reside in the state of California Ambitious and growing law firm looking for a Workers' Compensation Hearing Representative to deliver excellent service to clients. Opportunities for growth and advancement. This position is within the Workers' Compensation Department at Abramson Labor Group. You will have the opportunity to interact with the clients' files throughout the lifecycle of their case and attend hearings relevant to issues that may arise during a client's case. Key Responsibilities Managing a high-volume legal Workers' Compensation caseload Communicating with relevant parties involved in a case Attending all case related hearings Maintaining case notes Reviewing and evaluating case files Possible traveling to assigned Workers Compensation Appeals Board (WCAB) locations Other duties as assigned Qualifications Skills, Knowledge and Expertise 1+ years of experience as a Hearing Representative related to Workers Compensation (Preferred) Knowledge of CA Workers' Compensation (Required) General understanding of the workers' compensation system including EAMS, E-filing, and the AME/PQME process Strong attention to detail, with ability to observe details on a computer or other electronic screens Excellent written and verbal communication skills Ability to juggle multiple tasks efficiently with little supervision Bachelor's degree Preferred Bilingual (English + Spanish) Preferred Proficient in all Microsoft applications, including but not limited to Word, Outlook, and Teams Additional Information Benefits Our law firm offers eligible employees a comprehensive benefits package that includes medical, dental and vision insurance coverage. We also provide eligible employees with flexible time off plans including Unlimited Paid Time Off (PTO), and paid holidays. Department Workers' Compensation Employment Type Full Time Location California Workplace type Remote (Must reside in the state of California) Compensation $28.00 - $37.00 / hour #ZR

NV Workers' Compensation Claims Adjuster Seeking an experienced NV Workers' Compensation Claims Adjuster with strong communication and organizational skills. The ideal candidate brings extensive claims handling experience, holds (or is in the process of obtaining) a SIP license, and is comfortable supporting a varied caseload. Public entity experience is preferred. Responsibilities Manage a diverse caseload of workers' compensation claims, including varying levels of complexity Communicate effectively with clients, vendors, and internal stakeholders Support fellow adjusters and assist with complex client interactions Take on additional assignments as needed, with opportunities for supplemental compensation Qualifications Minimum of 7 years of experience handling workers' compensation claims SIP license required, or in progress with the ability to obtain within the expected timeframe Experience with public entity claims is preferred Demonstrated ability to manage a high-volume caseload while maintaining accuracy and attention to detail Strong communication, problem-solving, and organizational skills Day-to-Day This role involves managing workers' compensation claims, providing timely communication to all involved parties, coordinating with internal teams, and applying critical thinking to resolve issues efficiently. Adaptability and professionalism are essential in supporting both routine and complex claim activities. Compensation Package Competitive salary range of $90K - $110K (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-JJ1

Workers' Compensation Claim Specialist (Mid to Senior Level) Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $70,000-$95,000 annually Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We are seeking an experienced Workers' Compensation Claim Specialist to manage a dedicated client account within California jurisdiction. This remote role requires strong technical expertise and the ability to handle claims from onset through resolution, including litigation management. Caseloads are capped at 125 claims to ensure quality and balance. If you thrive in a fast-paced environment and value autonomy, this is an excellent opportunity to join a supportive, employee-owned organization. This position is a true Workers' Compensation adjusting role. It is not an HR, consulting, or administrative position. The role requires full responsibility for the investigation, evaluation, negotiation, and resolution of Workers' Compensation claims in accordance with state laws and client handling instructions. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. • Handle California WC claims from initial investigation through resolution • Calculate and issue benefits accurately and timely • Document all file activity and maintain compliance with state regulations • Investigate claims and manage litigation processes • Communicate effectively with clients, claimants, and attorneys Qualifications What You'll Bring Required: • Minimum 5 years of California WC claims adjusting experience • SIP designation or California Claims Certificate • Strong analytical, documentation, and negotiation skills Nice to Have: Excellent customer service and time management skills Familiarity with ADR processes and litigation handling Professional designations such as AIC, ARM, or CPCU Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO (Paid time off that accrues throughout the year in accordance with company policy) + 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 How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #WorkersCompensationJobs #ClaimsCareers #InsuranceJobs #RemoteWork #CaliforniaJobs #EmployeeOwned #GreatPlaceToWork #CareerWithPurpose #JoinOurTeam #TPACareers #CCMSICareers #LI-Remote We can recommend jobs specifically for you! Click here to get started.

CopperPoint has an exciting opportunity for a fully remote Workers' Compensation Claims Adjuster Senior, Indemnity. The ideal candidate must possess Arizona jurisdiction technical claims knowledge. Additional experience in MO, KS, CO, UT, NM, NV and/or TX jurisdictions is preferred. The Workers' Compensation Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers' compensation claims to determine compensability. They will also adjudicate claims to ensure timely payment of indemnity and medical benefits due within company standards and in compliance with regulatory requirements, as well as establishing and maintaining action plans and reserves to ensure proactive, cost-effective claims management. Job Responsibilities: Analyze and investigate indemnity claims to determine compensability decisions by interpreting and applying laws, rules, and regulations of workers' compensation. Utilize all available resources as appropriate. Build and maintain professional relationships with injured workers, policy holders, brokers and agents through proactive claim management and timely communications. Appropriately document communications and claim management activities. Develop, maintain and adhere to action plans and reserves on indemnity claims while proactively managing claims to resolution. Establish and maintain cost drivers and data elements to ensure accurate NCCI and Medicare reporting. Proactively manage claims in accordance with company standards and statutory requirements. Ensure timely payment of indemnity and medical benefits. Actively utilize all available cost containment measures and programs. Identify settlement opportunities. Negotiate settlements with claimants and attorneys. Conducts dispute resolution with claimants and attorneys. Testify at hearings when necessary. Qualifications/Competencies: Excellent customer service skills to include initiative, mature judgement and discretion. Bachelor's degree (B. S. or B.A.) in business administration, communications, or a related field from an accredited four-year college or university is preferred. A minimum 3 years related experience in insurance claims operations. Arizona workers' compensation claims management experience is required. Experience/licensure in one or more of the other states in our region is highly preferred (MO, CO, UT, KS, NM, NV, OK and/or TX) Bilingual in Spanish preferred. Strong technical workers' compensation knowledge with prior successful experience in a workers' compensation as well as other commercial lines claims management environment. Knowledge of Department of Insurance (DOI), NCCI, Department of Labor and Employment (CDLE) rules and regulations. Ability to analyze, interpret and apply laws, rules and regulations pertaining to workers' compensation. Ability to stay current with changes to statutory, industry rules and regulations as well as company policies and procedures which may impact claims management. Ability to set priorities, manage time, organize work and meet deadlines. Benefits: Employees and their families are eligible to participate in CopperPoint Insurance Companies benefit plans including medical, dental, vision, short-term disability, long-term disability, life insurance, a health savings account, a flexible spending account, and a 401k plan. We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). Employees will accrue 0.0769 hours of Paid Time Off (PTO) per paid hour, which may total 20 days a year. In addition, employees will also receive 10 paid holidays throughout the calendar year. Salary Range: $68,000.00 - $98,500.00 annually Compensation may vary depending on skills, experience, education, and geographical location. In addition to base salary, compensation may include an annual discretionary bonus. Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers' compensation and commercial insurance solutions. With an expanded Line of insurance products and a growing ten-state footprint in the western United States, CopperPoint embodies stability for policyholders in Alaska, Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, and Washington. CopperPoint Mutual Insurance Holding Company is the corporate parent of Arizona-based CopperPoint Insurance Companies, California-based Pacific Compensation Insurance Company, Alaska National Insurance Company, and other CopperPoint Insurance Entities. CopperPoint's culture of compassion extends to the community through employee volunteerism, corporate matching, Board service, program sponsorships and in-kind contributions. We empower employees by providing 12 hours of paid volunteer time annually and matching their personal contribution to the charities of their choice up to $500 per year. In 2020, CopperPoint employees reported 3,500 volunteer hours. CopperPoint offers a competitive compensation package and comprehensive benefits package including major medical, dental, vision and a wide range of competitive benefits programs, generous matching contributions to your 401(k) plan, generous paid time off, tuition reimbursement and other education benefits and business casual dress. CopperPoint is an equal employment opportunity employer. All qualified applicants will receive consideration without regard to race, color, sex, religion, age, national origin, disability, veteran status, sexual orientation, gender identity or expression, marital status, ancestry or citizenship status, genetic information, pregnancy status or any other characteristic protected by state, federal or local law. CopperPoint maintains a drug-free workplace. #LI-Remote

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership-and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose. Overview * Jurisdictions: California * Licenses: An active CA Designation is required (up to date on CE hours). SIP optional. * Location: This role is eligible for fully remote work. How you'll make an impact * Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. * Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. * Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process. * Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. * Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You * Claims Background: Minimum of 3-5 years of hands on workers compensation adjusting experience including handling a lost time/indemnity desk plus litigation. * Jurisdictional Experience: California WC. * Active Adjusters' licenses: CA Designation required. SIP optional. As a key member of our experienced Claims Adjuster team, you will: * Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. * Work in partnership with our clients to deliver innovative solutions and enhance the claims management process * Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants REQUIRED QUALIFICATIONS: * High School Diploma. * Minimum of 5 years related claims experience. * Appropriately licensed and/or certified in all states in which claims are being handled. * Knowledge of accepted industry standards and practices. * Computer experience with related claims and business software. DESIRED: * Bachelor's Degree #LI-HS1 Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: * Medical/dental/vision plans, which start from day one! * Life and accident insurance * 401(K) and Roth options * Tax-advantaged accounts (HSA, FSA) * Educational expense reimbursement * Paid parental leave Other benefits include: * Digital mental health services (Talkspace) * Flexible work hours (availability varies by office and job function) * Training programs * Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing * Charitable matching gift program * And more... The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | NY Jurisdictional Knowledge | Licensing Preferred | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. ARE YOU AN IDEAL CANDIDATE? To analyze Lost-Time Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: 3+ years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Jurisdiction Knowledge: New York Licensing: Home state preferred TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (61,857.00 - 70,000). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Workers Compensation Claims Adjuster (Southeast Jurisdictions) Who says you can't have it all? Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and exciting position with NO commute! You will be working from home so previous workers compensation adjusting experience is required (i.e. taking statements, paying lost wage benefits, filing state forms, denying claims, subrogation, litigation, etc.). As a Work Comp Adjuster, you will be responsible for investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. The ideal candidate will have excellent communication and negotiation skills, be detail-oriented, and possess a strong understanding of workers compensation laws and regulations. You will be communicating with a wide variety of individuals, to include CEO's, claimants, providers offices, and attorneys. Experience handling claims in multiple jurisdictions is vital for success in this role. Qualifications: Minimum of 1 year experience as a workers compensation claims adjuster. License/state experience in the Southeast states. Demonstrated knowledge of workers compensation laws and regulations. Strong analytical and problem-solving skills. Excellent communication and negotiation skills. Ability to work independently and in a team environment. Strong organizational and time-management skills. Proficiency in computer programs, including Microsoft Office and claims management software. If you are looking for a position that will allow you to stay in claims, continue to grow in your career, and also have the flexibility that working from home allows, this is the position for you. We will provide your office equipment and IT support, as well as training and support from our home office. If this sounds like a good fit to your career and life goals, we'd love to talk! Pay & Benefits Salary - Flexible based on your experience level. Most Benefits start Day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/ Defined Contribution (1-year waiting period) PTO/ Paid Holidays Company-paid ST and LT Disability Maternity Leave/ Parental Leave Company-paid Term Life/ Accidental Death Insurance Cottingham & Butler Claims Services (CBCS) At CBCS, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in. As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day. Want to learn more? Follow us on ****************** | LinkedIn

The mission of the Colorado Department of Revenue (CDOR) is to become a trusted partner to every Coloradan to help them navigate the complexities of government so they can thrive. We are driven by our values of service, teamwork, accountability, integrity, and respect. The vision of the department is to empower businesses and individuals through quality customer service, innovation, and collaboration. We celebrate diversity and support an equitable and inclusive culture. We embrace our differences because we believe this brings innovation to our work. For more exciting information about the Department of Revenue, please enjoy this brief video! Helpful tips for applying: Applying for a Job with the State of Colorado. What Happens After You Apply. The Hearings Division provides fair, impartial, and efficient administrative hearings for the department and its constituent divisions. These hearings resolve matters involving DOR regulatory divisions, (AID, MED, LED, Racing, etc.) and driving privileges cases brought by the Division of Motor Vehicles. The Division also presides over rulemaking hearings as needed to evaluate new regulations and/or rule changes proposed either by the Hearings Division or by one of the other DOR regulatory divisions. The professional in the Hearings Officer II position will conduct administrative hearings and issue decisions on licenses issued or denied by the Colorado Department of Revenue. The Hearing Officer II position ensures individuals or businesses whose licenses have been or may be denied, revoked, suspended, or otherwise restrained in some manner, experience full due process of the law. Primary Duties * Conduct Administrative Hearings in Accordance with Statutory Requirements (APA, etc.) and Regulations * Issue Written Decisions in Accordance with Model Decision Standards * Rule on Motions * Administrative Tasks Residency Requirement: This posting is only open to residents of the State of Colorado at the time of submitting your application. Class Code & Classification Description: H5F2TXHEARINGS OFFICER II MINIMUM QUALIFICATIONS: Experience Only: Seven (7) years of relevant experience in criminal or civil justice areas, or administrative law, dispute resolution, or as an adjudicator or practicing attorney, or Education and Experience: A combination of related education and/or relevant experience in criminal or civil justice areas, or administrative law, dispute resolution, or as an adjudicator or practicing attorney equal to seven (7) years NOTE: If submitting a transcript, certification or other relevant materials, candidates may redact information that identifies their age, date of birth, or dates of attendance at or graduation from an educational institution. Preferred Qualifications: The ideal candidate will possess the following skills: * Juris Doctorate degree and active law license * Additional years of adjudicative/litigation experience as a hearing officer, referee, judge or practicing attorney in criminal justice, civil litigation or administrative law: * Other experience where the applicant has acted in a quasi-adjudicative/litigation capacity in administrative law * Excellent oral and written skills and ability to write legal documents with logic, clarity and in a succinct manner * Demonstrated ability to make sound decisions in a high volume setting * A demonstrated understanding of Colorado laws, related to the Department of Revenue, rules and regulations of administrative law and due process * Excellent computer skills in word processing and, an ability to learn and adapt to various cloud- based software programs * Excellent communication and interpersonal skills * Proven ability to work independently and accept supervision * Proven success organizing and tracking workload and managing a several priorities and meeting short deadlines * Demonstrated experience and success in working remotely, managing caseloads, conducting hearings virtually, and maintaining productivity outside a traditional office setting * Strong familiarity with virtual meeting platforms (such as Zoom, Google Meets, or similar) * Proven ability to quickly adapt to technological changes, upgrades, or new software implementations, ensuring seamless integration into remote work practices * Proven ability to manage a diverse caseload, prioritize tasks, and maintain detailed records while working remotely Conditions of Employment with the CDOR: Employees are in a position of public trust in the performance of their job duties and must operate in a manner that maintains the highest standards of honesty, integrity, and public confidence. As a condition of employment with the CDOR, all personnel must file all necessary Colorado Individual Income Tax (CIIT) returns and pay tax obligations, therefore all employees must undergo a pre-employment evaluation of their tax records/accounts to ensure compliance with this policy. Final candidates must also complete a successful background investigation and reference check prior to appointment. Certain positions based on duties may require scheduled background investigations. Pursuant to the Universal Driving Standards Policy, any worker who will be expected to drive a State-owned vehicle is responsible for maintaining a safe driving record and a valid driver license prior to driving any State-owned vehicle. To be compliant with the new fleet vehicle policy, Motor Vehicle Records (MVRs) will be pulled for review for workers who: * Have an assigned State fleet vehicle * Are required to operate a vehicle as part of the position * Utilize a State fleet vehicle as a pool vehicle Minimum Qualification Screening A Human Resources Analyst will only review the work experience/job duties sections of the online job application, to determine whether you meet the minimum qualifications for the position for which you are applying. Only complete applications submitted before the closing date of this announcement will be reviewed. * Applicants must meet the minimum qualifications to continue in the selection process for this position. Do not use "see resume" or "see attached" statements on your application. * Cover letters and resumes will not be accepted in lieu of the official State of Colorado online application. Part-time work experience will be prorated. * Recommended attachments: Resume, Cover letter (Optional if Manager is requesting them) * List your employment history starting with the most recent job, including part-time, temporary, and volunteer jobs. If more than one job was held with a given organization, list each job held as a separate period of employment. * Information must be accurate, including dates of employment. If it is found that information provided is falsified, you will not be considered for a job with the State of Colorado and/or may be removed from a job after hire. * The eligible list established from this posting may be used to fill additional vacancies. Email Address: All correspondence regarding your status in the selection/examination process will be conducted via email. Please set up your e-mail to accept messages from "state.co.us" and "***********************" addresses. It is your responsibility to ensure that your email will accept these notices and/or review your junk mail and spam filtered email. If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director. Appeal Rights: An applicant who has been removed from an employment list or removed from consideration during the selection process may request a review by the State Personnel Director. As an applicant directly affected by the results of the selection or comparative analysis process, you may file a written appeal with the State Personnel Director. Review of the completed, signed and submitted appeal will be timely on the basis of written material submitted by you, using the official appeal form signed by you or your representative. This form must be completed and delivered to the State Personnel Board by email at dpa_******************************** within ten (10) calendar days from your receipt of notice or acknowledgement of the Department's action. For further information on the Board Rules, you can refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules. Equity, Diversity, and Inclusion Compliance The State of Colorado strives to create a Colorado for All by building and maintaining workplaces that value and respect all Coloradans through a commitment to equal opportunity and hiring based on merit and fitness. The State is resolute in non-discriminatory practices in everything we do, including hiring, employment, and advancement opportunities. The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law. The Colorado Department of Revenue is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA inbox, dor_***************. We are committed to building work environments that are inclusive and reflect our communities and the diverse talents of all people. We strongly encourage candidates from all backgrounds and abilities to apply. If not applying online, submit application to: If you are not able to submit an online application, a paper application is available at this link: PDF State Paper Application (Download PDF reader). Paper applications must be received via email to dor_*************** by the closing date and time of the application period listed on this announcement. Methods of Appointment: Appointment to the vacancy or vacancies represented by this announcement is expected to be from the eligible list created. However, at the discretion of the appointing authority, the position(s) may be filled by another method of appointment for a valid articulated business reason. Step Pay Program: Per the requirements of the Step Pay Program, any former or current State employee must be paid a rate that is equal to or greater than the appropriate step pay rate within their classification's pay range based on completed years in their current class series.

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. This is a full-time remote position that can be located anywhere in the U.S. Must be able to work EST timezone * Investigates, evaluates, and resolves assigned Workers' Compensation claims of a more complex or litigated nature in a timely manner in accordance with legal statutes, policy provisions, and company guidelines. * Evaluate claimant eligibility; communicate with attending physician, employer and injured worker. * Work with both the claimant and their physician to medically manage the claim, from initial medical treatment to reviewing and evaluating ongoing treatment and related information. * Work directly with employers to facilitate a return to work, either on a full-time or modified duty basis. * Confirm coverage and applicable insurance policy or coverage document and statutory requirements. * Identify potential for third party recovery, including subrogation, Second Injury Fund or other fund involvement (when applicable) and excess or reinsurance reimbursement. Pursue the process of reimbursement and complete posting of recovery to the claim file, where appropriate. * Identify potential for disability or pension credits or offsets and apply same where appropriate. * Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. * Establish claim reserve levels by estimating the potential exposure of each assigned claim, establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure. * Establish compensability status through case investigation and evaluation and application of jurisdictional statutes and laws. * Manage diary in accordance with Best Practices and complete tasks to ensure that cases move to the best financial outcome and timely resolution. * Where litigation is filed, evaluate exposure and work with defense counsel to establish strong defenses, prepare litigation plan of action, set legal reserve and manage litigation over life of claim. * Close all files as appropriate in a timely and complete manner. * Maintain closing ratio as directed by management team. * Oversee and coordinate medical treatment for injured employees and provide information to treating physicians regarding employees' medical history, health issues, and job requirements; provide direction to assigned nurse case manager where applicable. * Complete PARs (payment authorization request) when applicable. * Comply with all excess and reinsurance reporting requirements; manage self-insured retention reporting. Qualifications * High School diploma required. * Associate's or Bachelor's degree preferred. * 2 years of experience handling workers' compensation claims. * Completion of Workers' Compensation training courses internally and/or externally in all significant areas affecting Workers' Compensation claims handling and practices. * Workers' Compensation licenses, certifications, awards preferred. Benefits We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $20.96 - $24.03 hourly, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

Job DescriptionOur client, a recognized leader in the Workers' Compensation Insurance Industry, is seeking to add (2) New York Workers' Compensation Claims Adjusters to their Northeast team due to continued growth. You will be responsible for managing and resolving New York Workers' Compensation claims from initial report through final settlement. This role requires an experienced claims professional with strong technical expertise in New York Workers' Compensation Law, attention to detail, and the ability to handle a caseload efficiently while maintaining a high standard of quality. This position will allow the candidate to work fully remote! Key Responsibilities: Investigate, evaluate, and manage New York Workers' Compensation claims from start to resolution. Maintain a caseload of approximately 80-100 lost-time claims. Negotiate settlements and authorize payments within delegated authority. Ensure full compliance with state regulations, company policies, and best practices. Communicate effectively with policyholders, employers, medical providers, and attorneys to gather details and resolve claims promptly. Maintain timely and accurate claim documentation, reserve analysis, and file notes. Monitor and update claim diaries on an ongoing basis to ensure proper claim handling and follow-up. Qualifications: 3 - 10+ years of experience handling New York Workers' Compensation claims. Must hold an active New York Adjusters' License. Experience handling New Jersey or Pennsylvania Workers' Compensation claims is a plus but not required. Experience working for an insurance carrier or TPA is required. Prior experience handling Self-Insured or Large Deductible accounts is a plus. Strong organizational and analytical skills with the ability to work independently. Compensation & Benefits: Base Salary: $80,000 - $110,000+ (based on experience) plus annual bonus. 401(k) with employer match. Competitive Medical, Dental, Vision, and Life insurance plans. Employer contribution to HSA. Generous PTO and paid holidays. Long-term incentive programs. Flexible work schedule and the ability to work from home.

Midwestern Insurance Alliance (MIA) is seeking a full-time Remote Claims Adjuster to join its worker's compensation claims processing team. MIA is a national workers' compensation program administrator offering custom-tailored worker's compensation insurance programs through its carrier partners. MIA focuses on niche segments such as local and long-haul trucking, parcel and mail delivery, and fuel hauling. MIA's acquisition by San Diego-based K2 Insurance Services in 2012 has enabled MIA to expand its product offerings and product distribution channels. Claims Adjuster responsibilities include, but are not limited to: Thoroughly investigating worker's compensation claims by contacting injured workers, medical providers, and employer representatives. Determining if claims are valid under applicable worker's comp statutes. Communicating with medical providers to develop and authorize appropriate treatment plans. Reviewing and analyzing medical bills to confirm charges and treatment are worker's comp injury-related and in accordance with the treatment plan. Ensuring payments for medical bills and income replacement are remitted on a timely basis in accordance with applicable fee schedules and statutes. Calculating and assigning appropriate reserves to claims, and managing reserve adequacy throughout the life of the claim. Managing claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries, and Social Security and Medicare offsets. Preparing required state filings within statutory limits. Providing information as needed for litigation or settlement negotiations. The ideal Claims Adjuster will have: Bachelor's degree preferred, but not required. At least 3 years' WC claims adjusting experience. Examiner designation or WC Claims Adjuster license. Experience with Georgia and Florida WC claims preferred. Strong verbal and written communication skills. Strong organizational skills with attention to details. Ability to work with little supervision. Ability to manage multiple tasks in a fast-paced environment. Proficiency in MS Word, Excel, and Outlook. Salary: 80-85k US per year, depending on experience. MIA offers the opportunity to join an established company in growth mode. Our benefits package includes medical, dental, vision, disability, and life insurance and 401(k) with employer match. We also offer a business casual work environment and an 8:00-5:00 Monday-Friday work week. Learn more about MIA at midwesterninsurance.com and K2 Insurance Services at k2ins.com.

CA Workers' Compensation Claims Adjuster Seeking an experienced CA Workers' Compensation Claims Adjuster with strong communication and organizational skills. The ideal candidate brings extensive claims handling experience, holds (or is in the process of obtaining) a SIP license, and is comfortable supporting a varied caseload. Public entity experience is preferred. Responsibilities Manage a diverse caseload of workers' compensation claims, including varying levels of complexity Communicate effectively with clients, vendors, and internal stakeholders Support fellow adjusters and assist with complex client interactions Take on additional assignments as needed, with opportunities for supplemental compensation Qualifications Minimum of 3 years of experience handling workers' compensation claims Experience with working with carriers Demonstrated ability to manage a high-volume caseload while maintaining accuracy and attention to detail Strong communication, problem-solving, and organizational skills Day-to-Day This role involves managing workers' compensation claims, providing timely communication to all involved parties, coordinating with internal teams, and applying critical thinking to resolve issues efficiently. Adaptability and professionalism are essential in supporting both routine and complex claim activities. Compensation Package Competitive salary range of $90K - $110K (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-JJ1

Workers' Compensation Claim Specialist (Mid to Senior Level) Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $70,000-$95,000 annually Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We are seeking an experienced Workers' Compensation Claim Specialist to manage a dedicated client account within California jurisdiction. This remote role requires strong technical expertise and the ability to handle claims from onset through resolution, including litigation management. Caseloads are capped at 125 claims to ensure quality and balance. If you thrive in a fast-paced environment and value autonomy, this is an excellent opportunity to join a supportive, employee-owned organization. This position is a true Workers' Compensation adjusting role. It is not an HR, consulting, or administrative position. The role requires full responsibility for the investigation, evaluation, negotiation, and resolution of Workers' Compensation claims in accordance with state laws and client handling instructions. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. • Handle California WC claims from initial investigation through resolution • Calculate and issue benefits accurately and timely • Document all file activity and maintain compliance with state regulations • Investigate claims and manage litigation processes • Communicate effectively with clients, claimants, and attorneys Qualifications What You'll Bring Required: • Minimum 5 years of California WC claims adjusting experience • SIP designation or California Claims Certificate • Strong analytical, documentation, and negotiation skills Nice to Have: Excellent customer service and time management skills Familiarity with ADR processes and litigation handling Professional designations such as AIC, ARM, or CPCU Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO (Paid time off that accrues throughout the year in accordance with company policy) + 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 How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents. CCMSI posts internal career opportunities in compliance with applicable state and local promotion transparency laws. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #WorkersCompensationJobs #ClaimsCareers #InsuranceJobs #RemoteWork #CaliforniaJobs #EmployeeOwned #GreatPlaceToWork #CareerWithPurpose #JoinOurTeam #TPACareers #CCMSICareers #LI-Remote

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership-and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose. Overview Exciting Remote Opportunity: Workers' Compensation Subrogation Claims Adjuster Are you an experienced claims adjuster with a passion for Workers' Compensation Subrogation? Are you looking for a dynamic remote role where you can leverage your expertise to make a meaningful impact? How you'll make an impact * Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. * Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater. * Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. * Interacts extensively with various parties involved in the claim process. * Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements. * Documents and communicates all claim activity timely and effectively and in a manner which supports the outcome of the claim file. * Incumbents at this level should be able to work at full case load capacity. About You Required: High school diploma and 3 years related WC subro claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Knowledge of accepted industry standards and practices. Computer experience with related claims and business software. Preferred: Bachelor's Degree preferred. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve issues inherent in handling of claims. Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation. #LI-JA1 #LI-Remote #LI-GBTopJobs Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: * Medical/dental/vision plans, which start from day one! * Life and accident insurance * 401(K) and Roth options * Tax-advantaged accounts (HSA, FSA) * Educational expense reimbursement * Paid parental leave Other benefits include: * Digital mental health services (Talkspace) * Flexible work hours (availability varies by office and job function) * Training programs * Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing * Charitable matching gift program * And more... The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation **PRIMARY PURPOSE** : To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. + Develops and manages workers compensation claims' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. **Experience** Four (4) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + Working knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skill + Good interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **TAKING CARE OF YOU BY** + We offer a diverse and comprehensive benefits package including: + Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year. **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $68,000 - $80,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

CA Workers' Compensation Claims Adjuster Seeking an experienced CA Workers' Compensation Claims Adjuster with strong communication and organizational skills. The ideal candidate brings extensive claims handling experience, holds (or is in the process of obtaining) a SIP license, and is comfortable supporting a varied caseload. Public entity experience is preferred. Responsibilities Manage a diverse caseload of workers' compensation claims, including varying levels of complexity Communicate effectively with clients, vendors, and internal stakeholders Support fellow adjusters and assist with complex client interactions Take on additional assignments as needed, with opportunities for supplemental compensation Qualifications Minimum of 3 years of experience handling workers' compensation claims SIP license required, or in progress with the ability to obtain within the expected timeframe Experience with public entity claims is preferred Demonstrated ability to manage a high-volume caseload while maintaining accuracy and attention to detail Strong communication, problem-solving, and organizational skills Day-to-Day This role involves managing workers' compensation claims, providing timely communication to all involved parties, coordinating with internal teams, and applying critical thinking to resolve issues efficiently. Adaptability and professionalism are essential in supporting both routine and complex claim activities. Compensation Package Competitive salary range of $90K - $110K (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-JJ1

Overview Workers' Compensation Claim Specialist Schedule: Monday-Friday, 8:00 AM-4:30 PM MST Salary Range: $85,000-$96,000 annually (Depending on experience) Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We are looking for an experienced Workers' Compensation Claim Specialist to join our remote team supporting multiple California jurisdiction PEO accounts. At CCMSI, we hire professionals who show strong judgment, ownership, and pride in their work-people who understand that accuracy, empathy, and consistency are the foundation of exceptional claim handling. 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. Responsibilities At CCMSI, we hire individuals who take ownership, ask the right questions, and stay ahead of the work. Your ability to organize, prioritize, and resume tasks seamlessly is essential for success. • 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 Required: 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. Preferred: California SIP certification. Claim review presentation experience. AIC, ARM, or CPCU designation. How We Measure Success Internal audit results and compliance metrics. Annual performance reviews. Timeliness, accuracy, and client satisfaction outcomes. Why You'll Love Working Here 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 Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #WorkersCompensation #ClaimsAdjuster #RemoteJobs #CaliforniaJobs #InsuranceCareers #TransportationIndustry #LI-Remote We can recommend jobs specifically for you! Click here to get started.

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership-and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose. Overview Exciting Remote Opportunity: Workers' Compensation Subrogation Claims Adjuster Are you an experienced claims adjuster with a passion for Workers' Compensation Subrogation? Are you looking for a dynamic remote role where you can leverage your expertise to make a meaningful impact? How you'll make an impact * Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. * Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater. * Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. * Interacts extensively with various parties involved in the claim process. * Handles claims consistent with clients' and corporate policies, procedures and "best practices" and also in accordance with any statutory, regulatory and ethics requirements. * Documents and communicates all claim activity timely and effectively and in a manner which supports the outcome of the claim file. * Incumbents at this level should be able to work at full case load capacity. About You Required: High school diploma and 3 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Knowledge of accepted industry standards and practices. Computer experience with related claims and business software. Preferred: Bachelor's Degree preferred. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve issues inherent in handling of claims. Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation. #LI-JA1 #LI-Remote #LI-GBTopJobs Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: * Medical/dental/vision plans, which start from day one! * Life and accident insurance * 401(K) and Roth options * Tax-advantaged accounts (HSA, FSA) * Educational expense reimbursement * Paid parental leave Other benefits include: * Digital mental health services (Talkspace) * Flexible work hours (availability varies by office and job function) * Training programs * Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing * Charitable matching gift program * And more... The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

We are seeking a CA Workers Compensation Claims Adjuster. The ideal candidate will have strong communication and organizational skills, with a minimum of 1 year of experience in the field. Public Entity experience is preferred, and a SIP license is required or in the process of receiving within 6 months. Responsibilities Manage a caseload of 120-130 claims, some of which may include med only and future med cases Demonstrate good communication and organizational skills Assist adjusters directly and handle tough client interactions Volunteer for project pay and take on extra work for additional compensation Embrace alternative schedules such as 4-10s or 9-80s Participate in a thorough interview process involving critical thinking and communication assessments Qualifications Minimum of 1 year of experience in workers compensation claims adjusting SIP license required, or in the process of receiving within 6 months Experience with public entity claims (4850) is preferred Ability to handle a high caseload and demonstrate adaptability to different types of claims Day-to-day The day-to-day responsibilities will include managing a caseload of workers compensation claims, communicating with clients and management, and potentially participating in alternative work schedules. The role may also involve critical thinking and problem-solving to effectively handle claims and client interactions. Benefits Competitive wage range of $75K - $105K (DOE) Remote work available with provided equipment Opportunity for growth within the company and the industry #LI-MM11 INDTJG-CTT