Claims Adjuster II

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Claims Adjuster II

By / August 18, 2026

• Type: Contract
• Job #106087

Workers' Compensation Claims Adjuster II

Location: Brea, CA (Hybrid)

Pay Rate: $45-$50/hour

Duration: Contract with Potential for Full-Time Conversion

Our client is seeking an experienced Workers' Compensation Claims Adjuster II to manage California workers' compensation claims from investigation through resolution. This position offers a hybrid work schedule and the opportunity to join a well-established insurance organization with the potential for long-term career growth.

Responsibilities

• Manage a caseload of workers' compensation claims, including investigation, evaluation, reserving, and claim resolution.
• Analyze policy coverage and determine compensability.
• Authorize payments and manage claim expenses within authority limits.
• Negotiate settlements and develop effective claim resolution strategies.
• Coordinate with attorneys, medical providers, nurse case managers, underwriters, agents, and insureds.
• Identify potential fraud concerns and coordinate with appropriate investigative resources.
• Maintain accurate claim documentation and prepare reports for management.
• Ensure compliance with California workers' compensation regulations and industry standards.

Qualifications

• Minimum 3 years of workers' compensation claims handling experience.
• California Claims Certification/License required.
• Strong knowledge of claims investigation, coverage analysis, reserving, and settlement negotiations.
• Experience handling complex claims and working with litigated files.
• Excellent communication, analytical, negotiation, and problem-solving skills.
• Proficiency with Microsoft Office and claims management systems.
• Bachelor's degree or equivalent experience preferred.
• Professional designations such as AIC, CPCU, or similar are a plus.

Why Consider This Opportunity?

• Competitive pay of $45-$50/hour.
• Hybrid work environment with flexibility.
• Opportunity to work with an established insurance carrier.
• Potential for contract extension and full-time conversion.

Qualified candidates with California workers' compensation claims experience are encouraged to apply.

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