King's Insurance Staffing · 1 day ago
Senior Bilingual Workers' Compensation Claims Examiner | Remote
United States
Contract
Remote
Senior Level
$50/hr - $60/hr
5+ years expKing's Insurance Staffing is seeking an experienced Senior Bilingual Workers’ Compensation Claims Examiner to manage complex California workers’ compensation claims from inception through resolution. The role requires strong technical expertise and effective communication with diverse stakeholders, while ensuring compliance with California regulations.
Staffing & Recruiting
Hiring Manager
Tyler Souva
Responsibilities
Independently manage a full caseload of California workers’ compensation claims, including complex and litigated files, from intake through closure
Evaluate claim compensability, make coverage determinations, and establish appropriate reserves in compliance with California regulations
Analyze medical records, employment information, and investigative findings to determine benefits, liability, and ongoing claim strategy
Authorize and manage medical treatment, temporary and permanent disability benefits, and settlements in accordance with statutory guidelines
Communicate proactively with injured workers, employers, attorneys, medical providers, and vendors to ensure timely and compliant claim handling
Ensure all claims activities meet California Workers’ Compensation laws, regulatory deadlines, and internal best practices
Negotiate claim resolutions, including settlements, with applicants’ attorneys and other involved parties
Accurately document all claim activity, decisions, and correspondence within the claims management system
Provide guidance, training, or informal mentorship to junior claims staff as needed
Deliver high-quality customer service while balancing cost containment and fair claim outcomes
Qualification
Required
5+ years of hands-on experience as a Workers' Compensation Claims Examiner handling California claims
Strong working knowledge of California workers' compensation laws, regulations, and claims best practices
Proven experience managing complex, high-exposure, and/or litigated claims
Bilingual (written and verbal) proficiency required to effectively communicate with injured workers and stakeholders
Excellent analytical, negotiation, and decision-making skills
Strong organizational skills with the ability to manage a full caseload independently in a remote environment
Experience with claims management systems and electronic documentation
Preferred
Active California Claims Examiner certification or designation preferred (if applicable)
Benefits
Comprehensive benefits package while on assignment
Flexible remote work environment
Strong likelihood of conversion to permanent employment
Company
King's Insurance Staffing
King's Insurance Staffing is a premier Staffing and Recruiting Firm that specializes in providing the very best talent across the United States.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase