CA Senior Claims Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a CA Senior Claims Specialist based in the United States.

• As a CA Senior Claims Specialist, you will manage complex and high-profile Workers’ Compensation claims from initial investigation through resolution.
• You will evaluate claim validity and compensability, establish appropriate reserves, authorize payments, and develop strategies that support favorable outcomes.
• The role involves close collaboration with case managers, attorneys, customers, claimants, and other stakeholders throughout the claims lifecycle.
• You will also oversee subrogation, litigation, recovery opportunities, return-to-work initiatives, and excess carrier reporting when applicable.
• Strong judgment, organization, and communication skills are essential to balancing cost management, regulatory requirements, and customer service expectations.
• The position offers an opportunity to apply advanced claims expertise while supporting team development and contributing to broader claims administration and cost-containment objectives.
• This is a full-time, fully remote position serving Workers’ Compensation claims in California.