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.