Certified Workers Compensation Claims Ex...

This Certified Workers Compensation Claims Examiner Position Features:
• Competitive Hourly Pay
• Hybrid After Training
• Long-term Contract

We are seeking a Certified Workers’ Compensation Claims Examiner / Adjuster to join a fast-paced team managing workers’ compensation claims from intake through resolution. This is a long-term contract (6+ months) based in Martinez, CA. This role involves evaluating indemnity claims, interpreting California workers’ compensation laws, and working within claims systems to ensure timely and accurate claim handling.

Responsibilities

- Manage full lifecycle of workers’ compensation indemnity claims
Investigate claims, determine compensability, and set reserves
- Review medical and legal documentation to support decisions
- Communicate with claimants, physicians, attorneys, and stakeholders
- Process disability payments and medical bills
- Document all claim activity in electronic systems
- Negotiate settlements and support litigation when needed

Qualifications

- Active California Certified Claims Adjuster certification or Self-Insurance Certificate (required)
- 2+ years WC claims experience (mid-level) or 3+ years (senior level)
- Hands-on experience handling workers’ compensation indemnity claims
- Strong knowledge of California workers’ compensation laws and regulations
- Experience using claims management software
- Excellent analytical, organizational, and communication skills
- Must be able to work onsite in Martinez, CA

If you are a certified Workers’ Compensation professional ready to take on a high-impact role with immediate interview availability, apply today to be considered.

Equal Opportunity Employer / Disabled / Protected Veterans

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The pay transparency policy is available here:

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Additional Skills

California WC claims, indemnity claims handling, claims management systems, litigation support, reserves and settlements, ADA compliance, Medicare set-asides, TPA experience