Apply on Employer Site

Robert Half · 2 hours ago

Senior Workers’ Compensation Claim Representative

Los Angeles, CA

Full-time

Onsite

Senior Level

$40/hr - $43/hr

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. They are seeking a Senior Workers’ Compensation Claim Representative to manage all aspects of lost time claims for California, ensuring superior customer service and compliance with state regulations.

ConsultingHuman ResourcesRecruitingSecurity

No H1B

Responsibilities

Manage workers' compensation lost time claims from start to closure

Conduct comprehensive investigations and evaluate compensability

Communicate claim decisions to insureds, claimants, and attorneys

Administer statutory medical and indemnity benefits throughout claim lifecycle

Set and adjust reserves within authority limits

Collaborate with attorneys on hearings and litigation strategies

Direct nurse case managers, rehabilitation vendors, and telephonic case managers

Ensure compliance with all statutory filing requirements

Pursue subrogation opportunities where applicable

Maintain detailed file notes and participate in claim reviews

Qualification

California Workers’ Compensation certificationCalifornia workers' compensation statutesMicrosoft Office proficiencyData analysisMedical terminology knowledgeAICRMACPCU designationsCommunication skills

Required

Certification to handle California Workers' Compensation claims is required

Minimum experience in lost time claims handling or similar fields (healthcare, disability, auto injury, etc.)

Working knowledge of California workers' compensation statutes and compliance regulations

Proficiency in Microsoft Office and familiarity with medical terminology and bill processing

Ability to analyze data and incorporate insights into claim resolution

Strong written and verbal communication skills

Must obtain applicable resident/designated home state adjuster license if not already held

Preferred

Preferred experience handling claims in CO, UT, NV, and AZ

AIC, RMA, or CPCU coursework/designations are a plus

Benefits

Medical

Vision

Dental

Life and disability insurance

401(k) plan

Company

Robert Half

Glassdoor3.8

🔒 At Robert Half, we prioritize your security—if you believe you've encountered a scam or fraudulent recruiter, please report it immediately to https://www.roberthalf.com/us/en/fraud-alert.

Founded in 1948