Workers' Compensation Lost Time Adjuster - California

Location: Fully remote within the United States; role location listed as San Diego, California

Salary: $75,000–$83,000 per year

Company

hirify.global is a specialist professional services and technology firm serving insurance, financial services, public sector, and other highly regulated organizations through risk, claims, transformation, and technology solutions.

What you will do

• Manage a caseload of California workers’ compensation indemnity claims from inception through resolution.
• Investigate claims and determine AOE/COE through 24-hour three-point contact with employees, employers, and medical providers.
• Establish and maintain accurate claim reserves based on probable outcomes.
• Authorize appropriate medical care, issue indemnity benefits, and manage legal aspects of claims.
• Determine settlement values and move claims toward appropriate closure.
• Communicate with clients, producers, employers, injured workers, vendors, and management.

Requirements

• California workers’ compensation claims experience is required.
• Multiple years of experience handling workers’ compensation claims, including indemnity and legal claims.
• Bachelor’s degree or equivalent combination of education and related experience.
• Proficiency with Microsoft Office Suite.
• Strong written and verbal communication, investigation, summarization, organizational, problem-solving, and decision-making skills.
• Ability to work independently with minimal direction and manage rapidly changing priorities.

Nice to have

• WCCA or WCCP designation.
• Self-insured license.

Culture & Benefits

• Medical, dental, and vision insurance plans.
• 401(k) plan with employer matching.
• Discretionary Time Off for exempt employees and Paid Time Off for non-exempt employees.
• Paid holidays, life insurance, and short- and long-term disability coverage.
• Diverse and inclusive workplace focused on innovation, professional development, and client service.