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Senior Claims Specialist-Workers Compensation (NO C2C)

Remote, USA Full-time Posted 2025-11-24
Join Our Client's Team as a Remote Senior Workers’ Compensation Claims Specialist – California Are you an experienced claims professional ready to take your expertise to the next level? We’re looking for a Senior Workers’ Compensation Claims Specialist who thrives on managing complex cases and delivering results. This is your chance to play a key role in shaping outcomes for high-profile claims while making a real impact for our clients. What You’ll Do: • Lead and manage complex Workers’ Compensation claims from start to finish. • Analyze policy coverages to determine claim validity and compensability, filing required documents with state agencies. • Partner with case managers to design strategic action plans that reduce overall claim costs. • Serve as the main point of contact—communicating claim status to customers, claimants, and clients. • Collaborate with attorneys, manage subrogation, negotiate settlements, and oversee recoveries. • Mentor and support team members, sharing your expertise to strengthen claims knowledge across the team. • Consistently exceed performance expectations while following client and carrier guidelines. What We’re Looking For: • Minimum 3 years managing complex Workers’ Compensation claims in California. • Deep knowledge of Workers’ Compensation administration, case management, and cost-containment strategies. • Exceptional verbal and written communication skills. • Strong interpersonal, organizational, and time-management abilities. • Proficiency with MS Office (Outlook, Word, Excel, Teams, SharePoint) and comfortable with multi-monitor setups. • Passion for mentoring and guiding team members to success. Education: • Bachelor’s degree or equivalent combination of education and relevant experience. OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. https://www.optechus.com/eeo_self_identification/ Apply tot his job Apply To this Job

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