What are the responsibilities and job description for the CA Workers Compensation Claims Examiner position at Questpro?
California Sr. Claims Examiner – Workers’ Compensation (Contract Role)
Duration: Through August 2027
100% REMOTE
Req #37103742
We are seeking an experienced Sr. Claims Examiner – Workers’ Compensation for a long-term contract opportunity. This role is ideal for a seasoned professional who can independently manage complex claims while driving efficient, cost-effective outcomes.
Key Responsibilities
Duration: Through August 2027
100% REMOTE
Req #37103742
We are seeking an experienced Sr. Claims Examiner – Workers’ Compensation for a long-term contract opportunity. This role is ideal for a seasoned professional who can independently manage complex claims while driving efficient, cost-effective outcomes.
Key Responsibilities
- Interpret policy coverages and make independent decisions on complex and non-routine claims
- Manage all aspects of investigations for complex workers’ compensation claims
- Direct litigation and discovery strategies in partnership with legal counsel
- Analyze claim activity and prepare detailed reports for clients, carriers, and management
- Establish and manage reserves using sound judgment; authorize payments within authority limits
- Ensure timely and accurate claim settlements and disbursements
- Identify and pursue subrogation and third-party recovery opportunities
- Participate in claim reviews and provide strategic insights
- 4–8 years of workers’ compensation claims handling experience or similar
- Strong background in technical claims investigation and settlement
- Active Workers’ Compensation Adjuster License (per jurisdiction requirements)