Senior Claims Specialist-Workers Compensation (NO C2C)

Remote Full-time
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/

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