Claims Associate – Workers Compensation

. Analyze low-level workers compensation claims to determine benefits due .

Posted 9/25/2026full-timeOntario • California • United StatesJuniorMid-Level💰 $25 - $28 per hourWebsite

Key responsibilities & impact

Analyze low-level workers compensation claims to determine benefits due
Ensure ongoing adjudication of claims within company standards and industry best practices
Adjust medical-only claims and minor lost-time workers compensation claims under close supervision
Support claims representatives, examiners, and leads with larger or more complex claims
Process workers compensation claims, determining compensability and benefits due
Monitor reserve accuracy and file necessary documentation with state agency
Communicate claim action and processing with claimants, clients, and appropriate medical contacts
Ensure claim files are properly documented and claims coding is correct
Process routine payments, prescriptions, and status reports for lifetime or defined-period medical claims as needed
Maintain professional client relationships
Support the organization's quality programs
Perform other duties as assigned

What you’ll need

High school diploma or GED
Licenses as required
One (1) year of general office experience or equivalent combination of education and experience required
Claims industry experience preferred
Clear and conceptual thinking ability
Excellent judgment, troubleshooting, problem solving, analysis, and discretion
Ability to handle work-related stress
Ability to handle multiple priorities simultaneously
Ability to meet deadlines
Computer keyboarding
Hearing, vision, and talking
Ability to travel as required

Comp & perks