Workers Compensation Associate Claim Representative

Location: Remote, based in or associated with Diamond Bar, California, United States

Annual base salary: $53,800–$88,800, plus eligibility for performance-based cash incentive awards.

Company

hirify.global is a property and casualty insurer focused on serving customers and communities through collaborative and innovative insurance services.

What you will do

• Complete structured virtual, classroom, and on-the-job training in insurance policies, claim processes, systems, and procedures.
• Assist with reviewing, investigating, documenting, and evaluating workers compensation claims under close supervision.
• Assess coverage, compensability, exposure, claim resolution plans, and potential fraud based on policy terms and claim facts.
• Gather information from policyholders, claimants, witnesses, medical providers, and other third parties, and communicate claim status to involved parties and legal counsel.
• Maintain accurate claim records, participate in telephonic and/or onsite file reviews, and learn to coordinate medical treatment and return-to-work outcomes.
• Obtain and maintain required insurance or adjuster licenses within three months of starting the job and remain open to continuous learning in AI and digital transformation.

Requirements

• High school diploma or GED and one year of customer service experience.
• Bachelor’s degree.
• Previous internship or work experience in customer service or insurance.
• Willingness to obtain an active adjuster license where required by state law and maintain relevant insurance licenses.
• Proficiency in Microsoft Word, Excel, and Outlook, with willingness to learn claims management systems.
• Strong verbal and written communication skills, sound judgment, effective decision-making within established authority, and exceptional customer service skills.
• Attention to detail, organization, ability to manage multiple tasks and prioritize effectively, and basic conflict-resolution skills with willingness to learn negotiation techniques.
• Employment is full time.

Culture & Benefits

• The development program typically lasts up to 12 months and supports progression toward independent claims handling.
• Remote workplace with virtual, classroom, on-the-job, telephonic, and occasional onsite file-review activities.
• Health insurance is available to employees and eligible family members from the first day of employment.
• Benefits include dollar-for-dollar 401(k) matching up to the first 5% of eligible pay, a company-funded pension plan, and a student-loan savings program.
• Benefits include at least 20 paid days off annually, nine paid company holidays, wellness and mental-health resources, and volunteer and matching-gift programs.