Job Description
Job Description
We are looking for a skilled Claims Supervisor to oversee daily claims operations and support efficient office management activities. This Long-term Contract position is ideal for a detail-oriented individual who can guide hiring-related processes, maintain strong claim administration standards, and help keep workflows organized and responsive. The successful candidate will play a key role in coordinating team performance, improving service delivery, and ensuring claims are handled accurately and on schedule.
Responsibilities:
• Lead day-to-day oversight of claims activities, ensuring work is completed accurately, efficiently, and in alignment with established procedures.
• Support recruitment and onboarding efforts by coordinating hiring activities, tracking candidate progress, and assisting with staffing needs.
• Review claim files for completeness, follow up on outstanding items, and help resolve processing issues in a timely manner.
• Monitor team workload and performance to maintain service levels and promote consistent operational results.
• Partner with internal stakeholders to address claim-related concerns, clarify requirements, and improve communication across functions.
• Maintain organized records, prepare operational updates, and assist with reporting related to claims and staffing activity.We are looking for a fully remote Senior Workers’ Compensation Claims Specialist to assist our client with a long-term project. Candidates must hold a valid California adjuster's license and live in California. This person will be responsible for managing a complex caseload of workers’ compensation claims from inception through resolution. This role ensures compliance with applicable laws and regulations, delivers excellent customer service, and works closely with internal stakeholders, injured employees, medical providers, and legal counsel to facilitate timely and cost-effective claim outcomes.
Key Responsibilities
- Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases.
- Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability.
- Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines.
- Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments.
- Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives.
- Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed.
- Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status.
Candidates must hold a valid California adjuster's license and live in California. This person will be responsible for managing a complex caseload of workers’ compensation claims from inception through resolution. This role ensures compliance with applicable laws and regulations, delivers excellent customer service, and works closely with internal stakeholders, injured employees, medical providers, and legal counsel to facilitate timely and cost-effective claim outcomes.
The hourly salary range for this position is 40.00 to $47.00. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit Robert Half Benefits Website for more information.