Handle loss time complex level claims throughout multiple jurisdictions with a heavy concentration in California.
Determine compensability and/or coverage issues for workers’ compensation loss time claims
Negotiate and complete settlements under management’s review
Gather medical and factual evidence
Coordinate and direct the activities of outside investigation
Manage outside counsel and litigation within given authority
Communicate daily with claimants, and/or attorneys, outside investigators, rehabilitation personnel, as well as insureds, medical providers and agents
Complete timely and efficient claims handling responsibilities

3+ years of CA loss time workers compensation experience including litigated claims is required
Flexibility and positive attitude a must
Ability to learn claims handling procedures in multiple states as needed
Demonstrates strong organizational, problem solving, negotiation and conflict resolution skills
Shows positive attitude toward GUARD and claims department
Demonstrates the ability to positively contribute to and supports the vision, values, and strategies of the Claims Department and proven ability to work well in a team environment
Innovative thinker with the ability to multi-task
Excellent verbal and written communication skills
Bachelor’s degree or an equivalent combination of education and experience preferred
Active adjuster license

Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!

Senior Workers' Compensation Claims Adjuster

Key skills