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20 jobs similar to Senior Claims Specialist I, Workers Compensation - West Region

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US

  • Manage and investigate workers' compensation lost time claims to determine compensability and benefit eligibility.
  • Collaborate with injured workers, employers, and medical providers to facilitate timely return to work and cost-effective outcomes.
  • Oversee litigation, negotiate settlements, and ensure compliance with jurisdictional requirements.

Encova Insurance is a provider of insurance products and services, specializing in workers' compensation and property insurance. The company fosters a collaborative and inclusive culture, offering challenging opportunities and emphasizing continuous learning and growth.

$70,000–$83,000/yr
United States

  • Manage and investigate lost time workers' compensation claims, including coverage, liability, and exposure.
  • Evaluate claims for settlement and negotiate with claimants and attorneys to resolve files timely.
  • Maintain accurate reserves and document all claim files with appropriate payments and updates.

Acrisure is a global fintech leader that connects clients with customized solutions across insurance, reinsurance, payroll, benefits, cybersecurity, and mortgage services. With revenue of nearly $5 billion and over 19,000 colleagues in 20+ countries, the company emphasizes entrepreneurial spirit, leadership, accountability, and collaboration.

US

  • Manage complex workers' comp claims from setup to closure, including high-dollar cases.
  • Conduct investigations, set reserves, and ensure statutory compliance.
  • Mentor junior adjusters and collaborate with internal and external partners.

Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. They focus on efficient, objective candidate review and operate in a collaborative, technology-enabled environment.

$121,263–$191,687/yr
US

  • Lead and develop a regional workers' compensation claims team, ensuring timely and fair claim resolution while overseeing complex claims.
  • Monitor reserve adequacy, conduct claim file audits, and manage litigated claims to ensure compliance and profitability.
  • Partner with underwriting, risk services, and other stakeholders to communicate claim activity, trends, and drive operational excellence.

EMC is an insurance company focused on financial strength and stability, with over 105 years of experience. They have a corporate culture that engages and empowers team members, and have been recognized as a top workplace based on team member feedback.

US Canada Unlimited PTO

  • Serve as primary liaison with adjusters and carriers, opening insurance claims and ensuring treatment progression.
  • Request, track, and organize medical records, bills, and police reports, resolving liens and subrogation issues.
  • Maintain case timelines, oversee demand preparation, and negotiate with insurance carriers to finalize cases.

EvenUp uses technology and AI to close the justice gap, empowering personal injury lawyers and victims. Backed by top VCs, the company is a fast-growing vertical SaaS firm with a collaborative culture.

$60,000–$80,000/yr
US

  • Manage, investigate, and resolve commercial general liability claims with speed and empathy.
  • Communicate clearly with customers and stakeholders regarding claim status and resolution.
  • Handle a high volume of claims while ensuring accuracy and regulatory compliance.

Our partner is a technology-driven insurance organization that helps small businesses manage commercial insurance claims. They have a remote team and a collaborative culture focused on teamwork and professional development.

US 4w PTO

  • Manage a complex D&O and EPL claims portfolio from investigation to resolution.
  • Set and review reserves, direct litigation, and participate in mediations.
  • Represent Liberty Mutual with brokers, risk managers, and provide mentorship.

Liberty Mutual is a global insurer providing property and casualty coverage. With a diverse workforce and a focus on inclusion, the company values integrity and professional growth.

$62,460–$83,400/yr
US

  • Manage all aspects of liability injury claims of low to moderate complexity, including coverage, liability, and damage concerns.
  • Handle first-party exposures such as Medical Payment coverage, PIP, Uninsured/Underinsured Motorists, and Auto-Death Benefit claims.
  • Develop negotiation strategies to resolve claims effectively with insureds, claimants, or representatives.

Mobilitas is a commercial insurance company created by CSAA Insurance Group, reinventing commercial insurance in the mobility space. They are a startup-like team looking for motivated individuals to build a company from the ground up.

US 4w PTO

  • Supervise, coach, and develop a team of 5–8 adjusters handling product liability claims.
  • Monitor claim quality, productivity, and operational performance to ensure compliance and service excellence.
  • Provide technical guidance on liability investigations, damages evaluation, and settlement strategies.

CCMSI partners with clients to solve complex risk management challenges through innovative claim solutions. As a large employee-owned Third Party Administrator, they empower team members to take ownership and drive results.

$127,000–$171,000/yr
US Unlimited PTO

  • Manage complex and litigated claim files, leading independent contributors and consulting on high-stakes claim roundtables.
  • Oversee multiple departmental relationships across a matrixed organization within a large international insurance group.
  • Partner with cross-functional teams to improve litigation data and insights using technology.

ERGO NEXT is a technology-led, full-stack provider of small business insurance, transforming the customer experience. They have helped hundreds of thousands of small business customers since 2016 and are backed by industry leaders in insurance and tech.

$85,000–$120,000/yr
US Unlimited PTO

  • Serve as strategic advisor and liaison between clients, insurance carriers, and TPAs for workers' compensation claims.
  • Monitor claims, advocate for investigation, and identify cost containment and fraud prevention opportunities.
  • Educate clients on claim processes, return-to-work strategies, and maintain compliance with state regulations.

Trucordia is an insurance brokerage built from successful businesses across the US, offering tools and solutions for clients. With over 5,000 team members in 200 offices, the company values caring, collaboration, and results-oriented culture.

US 4w PTO

  • Manage a caseload of complex, litigated construction-related losses ($500K+) from assignment through resolution.
  • Lead coverage interpretation and application for issues commonly encountered in construction claims.
  • Build and lead the working team for each matter, coordinating legal, experts, and consultants.

Liberty Mutual is a global insurance company focused on property and casualty coverage. With a large workforce, they emphasize an inclusive culture, professional development, and comprehensive benefits.

$53,800–$65,000/yr
United States

  • Manage recovery efforts for incoming and outgoing subrogation claims, including investigations and negotiations.
  • Communicate with policyholders, insurance carriers, and payees to resolve disputes efficiently.
  • Evaluate documentation, process settlements, and apply arbitration referrals as needed.

This company is a modern insurance organization focused on managing complex subrogation claims and recovery processes. They offer a supportive and collaborative team culture with a flexible remote work environment.

$43,727–$68,419/yr
Canada

  • Manage accident benefit claims from investigation through resolution, ensuring compliance with legislation and delivering outstanding customer service.
  • Investigate and assess Minor Injury Guideline (MIG) claims to determine coverage eligibility and appropriate outcomes.
  • Coordinate claim activities with claimants, legal representatives, and healthcare providers to facilitate timely resolutions.

The partner company operates in the insurance industry, focusing on accident benefits claims. They maintain a fully remote, collaborative team culture that values integrity and customer service.

$62,860–$142,213/yr
US

  • Investigate and resolve homeowners property claims of moderate complexity, including documenting with photographs and writing repair estimates.
  • Use advanced technology to collaborate with vendors and insureds virtually to assess damage and write estimates.
  • Communicate effectively with customers, manage claims workload, and ensure timely resolution.

Mercury Insurance is a property and casualty insurance company dedicated to helping people reduce risk and overcome unexpected events. With over 60 years of experience, the company fosters a collaborative culture and offers competitive benefits.

US 4w PTO

  • Investigate, evaluate, and manage complex, high-exposure multi-line claims in accordance with standards and state laws
  • Lead claim strategy on heavily litigated files, working closely with defense counsel to drive resolution
  • Perform detailed coverage analysis, including policy interpretation and application

CCMSI is the largest privately-owned Third Party Administrator (TPA) that partners with global clients to solve complex risk management challenges through advanced technology and collaborative problem-solving. They are a certified Great Place to Work® with employee-owners empowered to grow and make meaningful contributions.

US

  • Conduct virtual or in-person property inspections to identify covered damage.
  • Interpret insurance policies and provide exceptional customer service.
  • Fill out paperwork and process claims to drive business growth.

Metro Public Adjustment helps homeowners receive the maximum amount from their insurance claims. It is a renowned and trusted 30-year-old business.

US

  • Conduct virtual or in-person walk-through inspections to identify insurance-covered damage.
  • Interpret insurance policies and utilize skills to drive business growth and success.
  • Provide exceptional customer service, address clients' needs, and process necessary paperwork.

Metro Public Adjustment helps homeowners receive the maximum amount they are entitled from their insurance claims. The company is a renowned and trusted 30-year-old business that offers ongoing training and development.

US

  • Conduct property inspections to identify potential damage covered by insurance.
  • Review and interpret insurance policies to help homeowners understand their coverage.
  • Complete necessary paperwork to support claims efficiently.

Metro Public Adjustment, Inc. is a trusted leader in the public adjusting industry for more than 30 years, specializing in helping policyholders receive maximum settlements under their insurance policies. They are expanding their team and looking for motivated individuals, offering a flexible, high-growth career with no experience needed.

$35,850–$54,750/yr
Canada

  • Manage homeowner property claims from investigation through resolution, ensuring accurate assessments and fair outcomes.
  • Apply technical claims expertise and policy knowledge to negotiate settlements and provide exceptional customer service.
  • Collaborate with claims professionals, vendors, and internal teams in a fully remote environment to resolve complex situations.

The company is an insurance organization providing property claims services. It fosters a supportive culture with accountability, empathy, and continuous improvement, operating in a fully remote environment.