Senior Claims Specialist, Workers Compensation

Crum & Forster

Senior Claims Specialist examining and managing workers compensation claims for Crum & Forster remotely. Responsible for claims investigation, evaluation, and oversight of claims management processes.

Posted 6/26/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $55,800 - $104,900 per yearWebsite

About the role

Key responsibilities & impact

Examines claims data and conducts investigations into routine and moderately complex claims
Determines coverage, compensability, subrogation and benefits under moderate supervisory direction
Adjusts and manages claims within the limit of assigned authority
Verifies and determines applicability of coverage
Initiates 24-hour contact with employer, employee and 48-hour contact with attending physician
Conducts telephone investigations as required by company claims handling manual
Evaluates and adjusts claims within authority limits
Consults with Claim Manager when needed
Makes assignments to nurse case management when indicated
Sets reserves for anticipated exposure up to authority limits
Reviews medical bills for causal relationship and approves payments

Requirements

What you’ll need

College degree, B.A. or equivalent experience
3+ years experience handling workers compensation claims
Strong organizational skills
Good time management skills
Foreign language communications a plus
Excellent verbal and written communication skills
Strong aptitude and knowledge of Microsoft Office programs
Ability to quickly learn new programs

Benefits

Comp & perks

Competitive compensation package
Generous 401K employer match
Employee Stock Purchase plan with employer matching
Generous Paid Time Off
Excellent benefits that go beyond health, dental & vision.
Wellness programs including physical, mental and financial wellbeing
Tuition reimbursement and industry-related certifications
Professional training opportunities
Volunteer opportunities and corporate giving program
Inclusive and diverse workplace

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims data analysisclaims investigationcoverage determinationcompensability assessmentsubrogationclaims adjustmentmedical bill reviewnurse case managementreserves settingworkers compensation claims handling

Soft Skills

organizational skillstime managementverbal communicationwritten communicationforeign language communicationaptitude for learning new programs

Certifications

B.A. degree or equivalent experience