Workers’ Compensation Claims Examiner | Rancho Cordova, CA

Insurance Placement Solutions (IPS) has an immediate opening for a Workers’ Compensation Claims Examiner with our client in Rancho Cordova, California, in the Sacramento area. This is a direct-hire, hybrid opportunity requiring two days per week in the office. Candidates must have at least five years of California workers’ compensation lost-time/indemnity claims experience, including litigation management, and a current Self-Insurance Administrator (SIP) Certificate.

In this role, you’ll independently manage complex California workers’ compensation indemnity claims from investigation through resolution. You’ll determine compensability, administer benefits, coordinate medical treatment, establish reserves, manage litigation, and negotiate settlements while ensuring compliance with California workers’ compensation regulations and client requirements.

Workers’ Compensation Claims Examiner Responsibilities

Manage California workers’ compensation lost-time and indemnity claims from assignment through resolution

Investigate claims and determine compensability in accordance with California workers’ compensation requirements

Calculate and administer temporary and permanent disability benefits within designated authority

Coordinate medical treatment and monitor claim developments

Establish, evaluate, and maintain appropriate claim reserves

Develop claim strategies and action plans to support timely resolution

Manage litigated workers’ compensation claims and coordinate with defense counsel

Evaluate claim exposure and negotiate settlements within designated authority

Coordinate return-to-work efforts with employers, medical providers, and other stakeholders

Maintain accurate claim documentation and timely diary management

Communicate claim developments with claimants, employers, attorneys, medical providers, and clients

Participate in claim-file reviews and ensure compliance with California regulations and client handling instructions

Qualifications

Minimum of 5 years of California workers’ compensation claims handling experience

Experience independently managing California lost-time and indemnity claims

Experience handling litigated California workers’ compensation claims

Strong knowledge of California workers’ compensation laws, regulations, and indemnity benefit requirements

Experience managing claim reserves, medical treatment, litigation, and settlements

Licensing & Certifications

Current California Self-Insurance Administrator (SIP) Certificate required

Work Arrangement

Direct-hire opportunity

Hybrid position based in the Sacramento area

Two days per week in the office

Three days per week working remotely

About Insurance Placement Solutions

Insurance Placement Solutions is a staffing and recruiting firm specializing in the insurance industry. We connect talented professionals with temporary, temp-to-hire, and direct-hire opportunities at leading insurance organizations across the United States.

ID: 006Uw00000dyFFT

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