Workers' compensation hearings officer jobs near me

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

Overview Workers' Compensation Claim Specialist - Remote (CA Jurisdiction Only) Reporting Location: Concord, CA Branch Schedule: Monday-Friday, 8:00 a.m. - 4:30 p.m. PST Compensation: $85,000 - $97,000 annually Work Setting: Remote (must reside in a location that supports CA claim handling) Build Your Career With Purpose At CCMSI, we look for the brightest and most dedicated professionals to join our employee-owned team. As one of the nation's leading Third Party Administrators in self-insurance services, we pride ourselves on providing exceptional service, innovative solutions, and a culture that values every employee's contribution. We are seeking an experienced California Workers' Compensation Claim Specialist to join our remote team supporting the Concord, CA branch. This position manages a multiple-account desk handling California jurisdiction only and requires advanced claim handling knowledge, attention to detail, and the ability to balance multiple priorities in a fast-paced environment. Job Summary The Workers' Compensation Claim Specialist is responsible for investigating, evaluating, and resolving a variety of complex California workers' compensation claims in accordance with CCMSI's best practices, state regulations, and client-specific service standards. This position is ideal for a skilled adjuster seeking a long-term career with an employee-owned company that invests in training, technology, and its people. Important - Please Read Before Applying This is not an HR, benefits, safety, or manufacturing management role. We are seeking an insurance claims professional with proven experience directly investigating, reserving, litigating, and settling complex workers' compensation claims as an adjuster or adjuster supervisor within an insurance carrier, TPA, or similar claims-handling environment. Candidates without this background (for example, those with HR-only, safety, or employer-side risk management experience) will not be considered. Responsibilities Investigate, evaluate, and adjust workers' compensation claims within California jurisdiction in compliance with applicable laws and CCMSI standards. Establish and maintain appropriate reserves; authorize or recommend reserves and payments within assigned authority levels. Review, negotiate, and approve medical, legal, and other invoices as appropriate. Coordinate communication among claimants, clients, attorneys, and medical professionals to ensure timely and effective claim resolution. Attend and participate in hearings, mediations, and legal conferences as required. Prepare and maintain accurate, detailed claim documentation in compliance with corporate and client requirements. Monitor subrogation and excess/reinsurance claims as applicable. Deliver high-quality, client-focused service aligned with CCMSI's commitment to excellence. Qualifications Required: 10+ years of progressively responsible experience adjusting California workers' compensation claims. Demonstrated knowledge of California WC statutes, regulations, and case law. Exceptional written and verbal communication skills. Strong organization, multitasking, and time management abilities. Proficiency in Microsoft Office (Word, Excel, Outlook). Reliable, predictable attendance during client service hours. Preferred: SIP certification and/or California Adjuster Certification. AIC designation or other industry credentials. Prior experience with Third Party Administrator (TPA) claims handling. How We Measure Success Consistent compliance with CCMSI's claim handling standards and state regulations. Supervisor review of claim quality and timeliness. Positive client feedback and adherence to service level expectations. Achievement of key audit and performance goals. What We Offer 4 weeks PTO + 10 paid holidays in your first year • Medical, Dental, Vision, Life, and Disability Insurance • 401(k) and Employee Stock Ownership Plan (ESOP) • Internal training and advancement opportunities • 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: • Act with integrity • Deliver service with passion and accountability • Embrace collaboration and change • Seek better ways to serve • Build up others through respect, trust, and communication • Lead by example-no matter their title 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 #InsuranceCareers #RemoteAdjusterJobs #CaliforniaJobs #NowHiring #JoinOurTeam #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

The Large Loss Workers' Compensation Adjuster is responsible for managing a caseload of complex and high-exposure workers' compensation claims from initial assignment to resolution. This role requires strong technical expertise in claims handling, thorough knowledge of workers' compensation laws and regulations, and the ability to develop strategies that achieve cost-effective and fair claim outcomes. The adjuster will work closely with injured employees, employers, medical providers, attorneys, and internal stakeholders to ensure timely and accurate claim resolution. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Claim Management Handle a caseload of large loss and catastrophic workers' compensation claims, including complex medical and indemnity exposures Investigate claims thoroughly to determine compensability, cause, extent of injuries, and potential for subrogation or fraud. Establish and maintain accurate reserves based on file exposure and claim progression. Develop, document, and execute claims strategies tailored to each file. Communication & Coordination Serve as the primary point of contact for all parties involved in the claim, including injured workers, employers, medical providers, attorneys, and internal teams. Provide regular status updates to stakeholders, ensuring transparency and alignment with claim objectives. Collaborate with internal resources such as nurse case managers, vocational experts, and legal counsel to drive claim resolution. Compliance & Documentation Ensure claims are managed in accordance with applicable workers' compensation laws, jurisdictional requirements, and internal guidelines. Maintain complete, organized, and timely claim documentation within the claims management system. Prepare required carrier reports, correspondence, and settlement recommendations. Litigation Management Direct and oversee litigation strategy on contested claims, including selection and oversight of defense counsel. Attend mediations, hearings, and settlement conferences as needed. Financial & Strategic Impact Identify opportunities to control claim costs through proactive management and early intervention. Monitor and manage large loss exposures to protect company assets. Participate in file reviews and provide insight into loss trends, reserving practices, and improvement opportunities. KNOWLEDGE & SKILLS: In-depth knowledge of workers' compensation laws, medical terminology, and claims best practices. Exceptional negotiation, communication, and interpersonal skills. Strong analytical, decision-making, and problem-solving abilities. Ability to manage multiple priorities in a fast-paced environment. Proficiency with claims management systems and Microsoft Office Suite. EDUCATION/EXPERIENCE: Education: Bachelor's degree preferred; equivalent work experience considered. Experience: Minimum 5-7 years of workers' compensation claims handling experience, with at least 3 years handling large loss/catastrophic claims. Multi-jurisdictional experience strongly preferred. PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $59,681 - $96,123 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Classification Purpose: The primary purpose of the Administrative Hearing Officer classification is to preside over administrative hearings. Job Duties: Preside over administrative hearings, to establish paternity and child support. Preside over and issue decisions regarding appeals from various enforcement actions. Research and write decisions in a concise manner using common language to ensure clients understand pertinent laws and statutes. Gather and evaluate evidence for purpose of preparing decisions and guideline worksheets. Review work completed by agency workers to ensure compliance with statutes and procedures. Review files in preparation of hearings for accuracy, substantive qualifications, and service of notice papers. Review agency's accounting records for accuracy and statutory adherence. Manage caseload in compliance with state and federal mandates. Provide coverage in program areas for other hearing officers as needed. Review and evaluate court orders. Process court cases from decision to entry stage. Establish parentage through orders. Updates birth records. Provide legal assistance to other legal and non-legal agency workers. Listen and respond to clients' complaints made against agency employees. Explain laws and procedures to the public. Review and update agency's computer system. Assist clients in obtaining court hearings through the objection process. Read new and proposed laws concerning child support to ensure current status of agency's policies. Advise and consult on administrative program. Work with committees to make procedural changes based on new or upcoming statutory changes. Maintains professional legal license and credentials. Maintain regular and predictable attendance. These duties are illustrative only and you may perform some or all of these duties or other job-related duties as assigned. Major Worker Characteristics: Knowledge of employee training and development; public relations; agency policy and procedures; government structure and process; interviewing. Skill in word processing; typing; equipment operation. Ability to define problems, collect data, establish facts and draw valid conclusions; understand practical field of study; prepare meaningful, concise and accurate records; proofread technical materials, recognize errors and make corrections; gather, collate and classify information about data, people or things; work alone on most tasks; resolve complaints from angry citizens and government officials; handle sensitive inquiries from contacts with officials and general public; resolve complaints from angry citizens and government officials. Minimum Class Qualifications for Employment: Any equivalent combination of relevant training and experience including but not limited to: Juris Doctorate with two (2) years of legal experience. Additional Requirements: Law license to practice in the State of Ohio is required. Supervisory Responsibilities: Ability to assign, review, plan, and coordinate the work of other employee, to provide instruction to other employees, to maintain department standards, to recommend the discipline or discharge of other employees, and to act on employee problems. Unusual Working Conditions: N/A

The Municipal Hearing Officer oversees the city's non-criminal tickets appeal process and acts as the hearing officer for the adjudication of tickets through a fair, complete and customer friendly process. Employee is required to perform all similar or related duties. Essential Functions The essential functions or duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position Schedules and conducts hearings to determine the validity of tickets and records all findings. Analyzes and researches relevant information to inform decision making, including determining if a hearing is required. Applies knowledge of the City of Somerville ordinances, policies, and procedures in the interpretation and disposition of cases. Reviews case materials, including tickets, photographs, reports, and relevant documentation, to prepare for and adjudicate hearings fairly and impartially. Utilizes the Citizenserve software platform to manage case files, schedule hearings, record decisions, and maintain accurate records of hearing outcomes. Provides excellent customer service by responding to public inquiries via mail, email, or telephone with professionalism, patience, and clarity; explains hearing procedures and outcomes in a respectful and accessible manner. Remains current with changes in local ordinances, state laws, and administrative hearing procedures. Recommended Minimum Qualifications Education and Experience Bachelor's degree in Public Administration, Political Science, Law, or a related field. Three to five (3-5) years of professional experience in a related field such as administrative law, municipal code enforcement, regulatory compliance; or any equivalent combination of education, training and experience which provides the required knowledge, skills, and abilities to perform the essential functions of the job. Experience working in a municipal or government setting is desirable. Bilingual or multilingual candidates are strongly encouraged to apply. Knowledge, Abilities and Skills Knowledge: Working knowledge of municipal operations; comprehensive knowledge of city ordinances, rules, and regulations as it relates to non-criminal violations; thorough working knowledge of office procedures; knowledge of municipal government; knowledge of Zoom and running Zoom meetings. Knowledge of the geography and culture of Somerville. Abilities: Ability to meet and deal with the public effectively and appropriately; ability to handle problems and emergencies effectively; ability to communicate clearly, both orally and in writing; ability to operate a computer; ability to maintain confidential information; ability to work effectively with individuals from diverse backgrounds, including members of the public, City personnel, and community stakeholders. Skills: Excellent organizational skills; excellent analytical and critical thinking skills to evaluate evidence, interpret ordinances, and issue fair decisions; excellent data processing skills in the use of personal computers and office software including word processing, database, spreadsheet, and specialized applications. Skilled in customer service and de-escalation techniques, particularly in high-stress or emotionally charged situations. Research, project planning, and attention to detail. Work Environment The work environment involves everyday discomforts typical of offices, with occasional exposure to outside elements. Noise or physical surrounding may be distracting, but conditions are generally not unpleasant. Employee may be required to work beyond normal business hours to attend evening hearings. Physical and Mental Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the position's essential functions. Physical Requirements Minimal physical demands are required to perform the work. Work effort principally involves sitting to perform work tasks, with intermittent periods of stooping, walking, and standing. There may also be some occasional lifting of objects such as office equipment or photocopy paper (up to 30lbs.). Motor Skills Duties are largely mental rather than physical, but the job may occasionally require minimal motor skills for activities such as moving objects, operating a telephone, personal computer and/or most other office equipment including word processing, filing and sorting of papers. Visual Skills Visual demands include constantly reading documents for general understanding and for analytical purposes. Hours: This is a part-time position that is not eligible for benefits. About 20 hours/month. Flexible scheduling; position can be completed fully remote, using Zoom or Microsoft Teams for hearings. Salary: $11,703.16 annual. Salary is paid monthly at $975.26. Union: Non-Union FLSA: Non-Exempt Date Posted: September 8th, 2025 ------------------------------------------------------------------------------------------- The City of Somerville is an affirmative action/equal opportunity employer and does not discriminate on the basis of race, color, sex, religion, age, national origin, disability or any other protected category. Women, minorities, veterans, and persons with disabilities are encouraged to apply. Auxiliary aids and services, written materials in alternative formats, and reasonable modifications in policies and procedures will be provided to qualified individuals with disabilities free of charge, upon request. Persons with disabilities who need auxiliary aids and services for effective communication (i.e., CART, ASL), written materials in alternative formats, or reasonable modifications in policies and procedures in order to access the programs, activities, and meetings of the City of Somerville should please contact Adrienne Pomeroy at ************ x 2059 or *************************. Pre-Employment Requirements for All Employees: MA Criminal Offender Record Information (CORI) clearance Completion of Conflict-of-Interest Law Education training for municipal employees Overview of Total Rewards: 4 weeks annual vacation for non-union positions. Union positions vary by contract. Please note, police officers are members of the SPEA union. Medical insurance through the Group Insurance Commission (GIC) - 80% of premium costs paid by City Dental coverage low and high plans through Cigna Vision care through Vision Service Plan (VSP) Long term disability through Sun Life Group and voluntary life insurance through Boston Mutual Health Care and Dependent Care flexible spending through Benefit Strategies Deferred compensation plans through a choice of three vendors Free, confidential services through the Employee Assistance Program (EAP) provided by E4Health Annual cancer screening & wellness release Somerville Retirement Pension System Tuition reimbursement MBTA pass program FREE Blue Bikes membership Eligible employer for the Public Service Loan Forgiveness Program (PSLF) Benefits listed are for benefits-eligible positions and the above information is meant to be a general overview of the benefit programs offered by the City of Somerville and not a binding contract.

Workers Compensation Claims Adjuster (Texas Jurisdiction) 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. 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 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

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. #LI-FP1 #LI-Remote

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.

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 (REMOTE- Midwest State Jurisdiction Exp needed) 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? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE OF THE ROLE: To analyze High-Level 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. 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: 4+ 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. Licensing / Jurisdiction Knowledge: Active adjusters license highly preferred. Midwest State Jurisdictional Experience Needed 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. 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.

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 33 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.

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: Arizona * Licenses: AZ adjusters license required * 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: Arizona Workers Compensation * Active Adjusters' licenses: AZ adjusters license required 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 #LI-Remote 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.

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 33 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.

Job Description 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.

Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking a seasoned workers' compensation adjuster to join our Third-Party Administration team. This is a remote role, open to candidates who live in Orange or Los Angeles County. Team meetings and training sessions are held in person at our Long Beach office a few times each year. Job Summary The Workers Compensation Claims Adjuster is responsible for managing all aspects of a workers compensation claim which includes determining compensability, verifying coverage, administering disability and medical benefits, skillfully negotiating claim resolutions, troubleshooting and assisting injured employees, employers and medical/legal professionals with any service needs throughout the lifespan of a claim. Essential Functions * Receives newly reported claims * Maintains and updates claim notes throughout lifespan of claim * Records claim information in electronic database * Interviews claimants, insureds, medical professionals and witnesses to determine claim validity * Communicates claim compensability decisions to claimant, employer and medical provider * Sets appropriate reserves based on nature/extent of injury * Calculates lost time wages, makes disability payments directly to claimants and diaries future payments as appropriate * Orders independent medical examination as necessary and prepares all relevant documentation for physician review * Maintains regular correspondence with claimants, insureds, and nurse case manager to include claim updates, medical appointments, or issues with disability payments * Reviews and processes medical bills through third-party vendor for additional discount opportunities * Aggressively collaborates with claimants and insureds to ensure early return-to-work is pursued * Works in partnership with legal counsel to warrant that insured's interests are protected on litigated claims which includes providing all relevant claim documentation needed for defense counsel to successfully defend claim and evaluate ultimate claim exposure * Attends settlement conferences, mediations, and hearings on behalf of the insurance company/insured * Reviews and approves defense attorney bills within authority * Works with underwriting to help provide relevant information on losses for renewal rates as well as Risk Management to identify trends and may interact with agents for insureds on losses * Responds to State requests for health cost disputes, applications for hearings and penalty assessment letters * Identifies subrogation potential and pursues recovery * Leads claim reviews with clients as requested * Other duties as assigned Requirements * 10 years of experience adjusting Workers Compensation Claims in California required * SIP Certification required * Bilingual (Spanish/English) required * Must be current with CEU's * Proficiency in entire Microsoft Office suite * Knowledge of relevant workers compensation laws * Strong grasp of medical terminology * Familiarity with medical cases and how treatment typically progresses * Excellent oral and written communication abilities * Attention to detail and good organization skills * Ability to negotiate issues and settlements * Strong focus on customer service which includes timely response to requests/inquiries * Ability to adapt to changing technologies and learn functionality of new equipment and systems * Ability to establish and maintain effective working relationships with others Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you. Values At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration. Equal Opportunity Employer Here at Charles Taylor, we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation. Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor. About Charles Taylor Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers' compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.

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

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 | OH Jurisdictional Knowledge 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 **Workers Compensation Lost-Time Claims** 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. **OFFICE LOCATION** **Open to remote** **In-Office Schedule if within commutable distance to a Sedgwick office** **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 RESPONSIBILITIES 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: 5 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: OH** **Licensing: not required** **TAKING CARE OF YOU** Flexible work schedule. Referral incentive program. Opportunity to work in an agile or remote environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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 (50,000 - 65,000). 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. \#remote \#LI-remote \#hybrid \#LI-hybrid \#Workerscompensation 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**

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 | OH Jurisdictional Knowledge 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 Workers Compensation Lost-Time Claims 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. OFFICE LOCATION Open to remote In-Office Schedule if within commutable distance to a Sedgwick office 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 RESPONSIBILITIES 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: 5 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: OH Licensing: not required TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile or remote environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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 (50,000 - 65,000). 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. #remote #LI-remote #hybrid #LI-hybrid #Workerscompensation 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.

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 | OH Jurisdictional Knowledge 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 **Workers Compensation Lost-Time Claims** 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. **OFFICE LOCATION** **Open to remote** **In-Office Schedule if within commutable distance to a Sedgwick office** **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 RESPONSIBILITIES 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: 5 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: OH** **Licensing: not required** **TAKING CARE OF YOU** Flexible work schedule. Referral incentive program. Opportunity to work in an agile or remote environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. 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 (50,000 - 65,000). 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. \#remote \#LI-remote \#hybrid \#LI-hybrid \#Workerscompensation 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**