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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing workers' compensation claims, ensuring compliance with California laws and regulations, and effectively communicating with stakeholders. Proficient in conducting thorough investigations, analyzing liability, and overseeing settlements while maintaining attention to detail and organizational skills.
Highest-signal resume keywords
Workers’ Compensation Claims ManagementCalifornia Adjuster CertificationLiability AnalysisClaims InvestigationRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims EvaluationFraud InvestigationSettlement NegotiationReserve AssessmentClaims Payment Calculation
Soft Skills
Customer ServiceVerbal CommunicationWritten CommunicationTime ManagementOrganizational Skills
Tools & Technologies
Claims Management SoftwareDocument Management Systems
Certifications & Qualifications
California Adjuster License
Industry Keywords
Workers’ Compensation LawsStatutory RequirementsLegal ComplianceLitigation Coordination
About the role
Key responsibilities & impact- Assess coverage and review claims for investigations, action plans, evaluation, fraud, and claim resolution
- Gather pertinent information and conduct quality investigations
- Review and evaluate coverage and/or liability
- Secure reports, policies, releases, statements, and other claim-investigation documents
- Analyze liability, assess exposure, and evaluate accurate reserves
- Manage claims from inception through resolution
- Affect settlements and reserves within prescribed limits and submit recommendations on cases exceeding personal authority
- Ensure claims payments are calculated and issued accurately and timely
- Ensure compliance with state, legal, statutory, regulatory, and company requirements
- Maintain a diary to follow claim progress
- Determine liability for permanent disability, mitigate costs, and resolve claims
- Oversee litigation and coordinate claims with the defense team
Requirements
What you’ll need- 5+ years of experience handling workers’ compensation claims
- Current California Adjuster Certification
- Familiarity with state workers’ compensation laws and regulations
- Strong customer service, verbal and written communication, time management, and organizational skills
- Excellent attention to detail
- Ability to work independently
- Strong knowledge of computers and software
- Active California Adjuster license
- Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership
Benefits
Comp & perks- Comprehensive medical insurance, dental insurance, and vision insurance
- Life and disability insurance
- Fertility benefits
- Wellness resources
- Paid sick time
- Generous paid time off and holidays
- Employee Assistance Program (EAP)
- Complimentary Calm app subscription
- Immediate vesting in a 401(k) plan
- Health Savings Account (HSA) and Flexible Spending Account (FSA) options
- Commuter benefits
- Employee discount programs
- Paid maternity leave and paid paternity leave, including for adoptive parents
- Legal plan options
- Pet insurance coverage