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California 3w PTO

  • Investigates complex Workers Compensation claims to determine coverage, compensability, and exposure.
  • Manages litigated files and participates in settlement negotiations and strategy discussions.
  • Uses data analysis and medical management strategies to resolve high-severity cases effectively.

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

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US

  • Independently manage a caseload of California workers' compensation claims from assignment through resolution.
  • Investigate claims, evaluate compensability, and develop claim resolution strategies while ensuring compliance with California regulations.
  • Coordinate with defense counsel, medical providers, and employers to manage litigation and negotiate settlements.

Acrisure is a global fintech leader providing customized insurance, reinsurance, payroll, benefits, and cybersecurity solutions. With nearly $5 billion in revenue and over 19,000 employees across 20+ countries, the company fosters an entrepreneurial culture emphasizing leadership and collaboration.

US

  • Handle high-exposure and complex workers' compensation claims in multiple jurisdictions as a technical Subject Matter Expert.
  • Serve as primary liaison for key business partnerships and lead claims-related account management for large clients.
  • Investigate, evaluate, and resolve litigated claims while maintaining compliance with jurisdictional regulations.

BerkleyNet is an innovative workers compensation insurance provider that operates entirely online. The company is part of W.R. Berkley Corporation, a Fortune 500 company known for its fast and easy service culture.

US

  • Examines claims data and conducts investigations to determine coverage, compensability, and benefits under moderate supervisory direction.
  • Handles California workers compensation claims, including catastrophic claims with supervisory oversight and litigation management.
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Crum & Forster (C&F) provides specialty and standard commercial lines insurance products. With over 2000 employees in the US, they earn recognition as a great place to work with a focus on diversity and inclusion.

US

  • Manage a caseload of complex workers' compensation cases including litigation and disability.
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Berkley Risk provides program administration and insurance services for self-insured entities. It is a member company of W. R. Berkley Corporation, a Fortune 500 firm, offering a competitive compensation and robust benefits package.

US 3w PTO

  • Plans and conducts investigations of claims to analyze coverage and determine liability, compensability, and damages.
  • Assesses policy coverage, establishes reserve requirements, and negotiates settlements within assigned authority limits.
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Liberty Mutual is a fast-growing insurance company that consistently outpaces the industry in year-over-year growth. It has a large workforce and fosters an inclusive culture with comprehensive benefits and professional development opportunities.

US Unlimited PTO

  • Translate deep Workers' Compensation claims expertise into product requirements, workflows, and decision frameworks.
  • Map the claim lifecycle to identify friction points and improve claim outcomes through better data and automation.
  • Partner across Product, Engineering, and Operations to align teams around quality and drive measurable product improvements.

Assured is on a mission to modernize insurance by providing large insurers with software solutions for claims processing. The company is a dynamic, collaborative team that powers claims for some of the largest insurers in the world using ML-driven decision-making.

$90,000–$100,000/yr
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  • Supervise claim activities to ensure compliance with Corporate Claim Standards, client instructions, and applicable laws.
  • Investigate, evaluate, and adjust assigned claims; set and oversee reserves within authority levels.
  • Negotiate settlements, manage litigated files, and train claim staff to drive excellence and quality.

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

US

  • Investigate and adjudicate workers' compensation claims, including medical-only and indemnity claims in MN, as well as Federal and State Black Lung claims.
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Argo Group is an underwriter of specialty insurance products in the property and casualty market, offering a full line of products and services for businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc., and the company fosters a collaborative, inclusive work environment that values innovation.

US

  • Initiate investigation of new claims and evaluate coverage to make appropriate policy decisions.
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ClaimsPro LP, part of SCM Insurance Services, is a Third Party Administrator handling claims across the US and Puerto Rico. SCM is Canada's largest privately owned insurance services provider, known for a culture of continuous learning and recently winning a Culture Innovator Award.

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US

  • Independently manage workers' compensation claims from initial setup through resolution.
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  • Deliver excellent customer service while collaborating with internal and external partners.

Our partner is a technology-driven insurance organization focused on improving the small business experience. They foster a collaborative culture built around innovation, ownership, and continuous improvement.

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Liberty Mutual is an insurance company that provides property and casualty insurance products and services. With a large employee base, the company fosters an inclusive culture with comprehensive benefits and opportunities for professional development.

US

  • Adjust the most complex, high-exposure allied health claims requiring advanced technical expertise.
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Integrated Specialty Coverages is a growth stage technology and data-driven commercial MGA and insurance wholesaler. Backed by Onex Partners, the company fosters a collaborative environment and focuses on attracting top talent to achieve exponential growth.

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  • Investigate and resolve auto physical damage and property damage claims in a timely manner.
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  • Collaborate with team members and document claims activities accurately.

Mercury Insurance is a midsize insurance company dedicated to helping people reduce risk and overcome unexpected events. They have been recognized as one of America's Best Midsize Employers for 2025 and foster a collaborative, growth-oriented culture.

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  • Investigate, evaluate, and resolve complex general liability claims with a focus on construction defect.
  • Ensure compliance with state-specific claims handling regulations and licensing requirements.
  • Work independently and collaboratively in a remote environment with strong communication and negotiation skills.

We provide claims services to help clients through life's toughest moments. Our culture is guided by the theme of 'better every day' and we are committed to growth and employee development.

$57,500–$79,100/yr
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  • Investigate and evaluate auto claims, determine coverage and liability.
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Horace Mann is an insurance and financial services company focused on educators. The company serves over 4,100 school districts, has over $12 billion in assets, and is publicly traded on the NYSE.

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US

  • Lead Auto Claims operations with accountability for performance, customer outcomes, compliance, expense management, and talent results.
  • Oversee the handling strategy and operational execution for Low Touch Claims, Coverage Investigations, Subrogation, Rental, Med Pay, and Theft/Fire.
  • Partner cross-functionally to support portfolio management, product implementation, growth, and business profitability.

Mercury Insurance helps people reduce risk and overcome unexpected events. They have been in business for over 60 years and foster a team culture focused on growth, fun, and inclusion.

$53,500–$104,100/yr
United States

  • Conduct thorough investigations of potentially fraudulent insurance claims, analyzing evidence and documenting findings.
  • Interview claimants, witnesses, and relevant parties to gather accurate information and support case resolutions.
  • Collaborate with claims professionals and vendors to manage complex investigations from review through resolution.

Our partner company specializes in fraud investigation and insurance claim integrity. The organization offers a collaborative remote work environment focused on innovation, accuracy, and customer protection.

US

  • Manage declaratory relief action claims from assignment through resolution, ensuring compliance with legal and internal standards.
  • Analyze complex insurance policies, litigation materials, and claim files to determine coverage positions and strategies.
  • Develop and implement litigation management plans while coordinating with outside counsel and monitoring legal expenses.

This company provides insurance and risk management solutions. It maintains a collaborative and inclusive workplace that values integrity, diversity, and continuous learning.

$83,000–$104,000/yr
US

  • Manage complex construction defect claims from investigation through resolution.
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  • Collaborate with internal teams, clients, and legal partners to drive effective claim outcomes.

Our partner is a technology-driven insurance company. They are an innovative and collaborative organization focused on claims management.

$22–$25/hr
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  • Process inbound claim contacts from dealers, repair facilities, sales agents, and contract holders.
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  • Correspond with vendors and assist with claim estimation and cost comparison.

Protective helps protect customers against life's uncertainties by providing insurance and claims services. The company offers comprehensive benefits and promotes work/life balance with a focus on employee wellbeing.