Workers' Compensation Claims Representative

biBerk Business Insurance

. Determine compensability and/or coverage issues for loss time workers' compensation claims .

Posted 11/10/2026full-timeRemote • United StatesMid-LevelSenior💰 $90,000 - $105,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing loss time workers' compensation claims, including negotiation, settlement direction, and effective communication with various stakeholders. Proficient in evaluating compensability and handling litigation within established authority.

Highest-signal resume keywords

Workers' Compensation Claims ManagementClaims Adjuster DesignationSIP CertificationCalifornia Claims HandlingMedical Terminology Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Loss Time Claims ManagementCompensability DeterminationSettlement NegotiationLitigation HandlingEvidence Gathering

Soft Skills

Organizational SkillsProblem SolvingNegotiation SkillsConflict ResolutionVerbal Communication

Certifications & Qualifications

Claims Adjuster DesignationSIP Certification

Industry Keywords

Workers' CompensationClaims HandlingCalifornia JurisdictionMedical Providers CoordinationClaimant Interaction

About the role

Key responsibilities & impact

Determine compensability and/or coverage issues for loss time workers' compensation claims
Effectively manage a caseload of loss time claims from numerous jurisdictions
Negotiate and direct settlements under management's review
Gather medical and factual evidence to determine compensability
Direct outside investigation and handle litigation files within given authority
Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, rehabilitation personnel, insureds, account liaisons, and medical providers

Requirements

What you’ll need

Carrier experience preferred
Experience handling lost time or litigated claims
Familiarity with medical terminology
Strong organizational, problem solving, negotiation, and conflict resolution skills
Excellent verbal and written communication skills
Bachelor's degree and 3+ years of relevant Workers' Compensation claims experience, or 5+ years of relevant Workers' Compensation claims experience without a bachelor's degree
Claims Adjuster Designation or SIP Certification required
Experience handling claims in California

Benefits

Comp & perks

Medical (PPO/HDHP), vision, disability, and life insurance
Enhanced dental plan with orthodontia coverage in addition to a standard plan
Generous PTO plan for all benefit-time eligible employees
Paid company holidays and 4 floating holidays
Paid parental leave
Employee Retirement Savings Plan/401(k) with company match and immediate vesting
Education Assistance Program offering 100% upfront tuition reimbursement after 6 months of service for approved degree programs
Service Recognition Program providing a monetary award toward a vacation every 5 years of employment
Wellness Initiatives including Fitness Center and Weight Watchers Reimbursement programs
Voluntary accident, critical illness, and hospital indemnity benefits
Employee discount and rewards program on travel, tickets, electronics, home, and more
Fully remote work