The Workers’ Compensation Claims Representative serves as the primary connection between insured clients and workers’ compensation insurance carriers.
The representative is committed to supporting and advocating for insureds as they navigate the complex and ever-evolving California workers’ compensation system.
This position ensures that claims are handled efficiently, accurately, and in compliance with applicable laws and procedures.
The representative acts as an advocate for insureds, facilitates effective communication, and provides technical support and education throughout the claims process.
The goal of this role is to enhance client satisfaction, improve claim outcomes, and support the brokerage’s service and retention objectives.

Associate’s or Bachelor’s degree in Business Administration, Risk Management, or a related field preferred.
Minimum of 2–5 years of experience in workers’ compensation claims handling, carrier relations, or client advocacy within a brokerage, carrier, or TPA setting.
Comprehensive understanding of state workers’ compensation statutes, medical case management practices, legal terminology and claims processes.
Strong verbal and written communication skills with a client-service mindset, ability to resolve complaints and disputes.
Proven ability to build and maintain effective professional relationships.
Exceptional analytical, organizational, and problem-solving abilities.
Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint) and claims management or CRM software.
Ability to manage multiple priorities and deliver results in a fast-paced environment.
Certifications (Preferred): Associate in Claims (AIC), Workers’ Compensation Claims Professional (WCCP), or similar industry designation.
State adjuster license or Self-Insurance Administrator (SIP) certificate (if required by jurisdiction).

Workers' Compensation Claims Representative

Key skills