Senior Workers' Compensation Claims Examiner (Fintech)

Location: California-based claims; fully remote with business hours aligned to Mountain or Pacific Time. Candidates should also be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Base compensation: $90,000–$110,000 annually.

Company

hirify.global is a global fintech and insurance services company providing customized solutions across insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and related areas.

What you will do

• Independently manage complex California workers' compensation claims from assignment through resolution.
• Investigate claims, evaluate compensability, review coverage and medical documentation, and determine handling strategies.
• Manage reserves, exposure evaluations, complex indemnity claims, litigated files, and settlement negotiations.
• Coordinate with defense counsel, medical providers, employers, and other stakeholders.
• Monitor claim progress, maintain accurate diaries and documentation, and ensure timely follow-up.
• Coordinate return-to-work efforts and identify fraud, subrogation, and cost-containment opportunities.

Requirements

• 5+ years of direct experience handling California workers' compensation claims.
• Experience managing indemnity and litigated workers' compensation claims.
• Current California Adjuster Certification, OSIP/SIP self-insured qualification, or CWCP designation required.
• Strong knowledge of California workers' compensation laws, regulations, and claims-handling practices.
• Experience developing claim resolution strategies and negotiating settlements.
• Strong analytical, decision-making, communication, organizational, and problem-solving skills, with proficiency in Microsoft Office and claims management systems.

Culture & Benefits

• Fully remote work arrangement with support for collaboration and cross-functional partnership.
• Medical, dental, vision, life, and disability insurance.
• Paid time off, holidays, sick time, maternity and paternity leave, and an Employee Assistance Program.
• 401(k) with immediate vesting, HSA and FSA options, commuter benefits, and employee discount programs.
• Fertility benefits, wellness resources, Calm subscription, legal plan options, and pet insurance.