Insurance Claims Representative – Workers' Compensation

Stone Hendricks Group

Insurance Claims Representative managing workers’ compensation claims for clients. Advocating for clients through effective communication and claim management processes while ensuring compliance.

Posted 5/8/2026full-timeLos Angeles • California • 🇺🇸 United StatesMid-LevelSenior💰 $70,000 - $90,000 per yearWebsite

About the role

Key responsibilities & impact

Serve as the main liaison between insured clients and workers’ compensation insurance carriers.
Facilitate timely communication regarding claim status, settlement decisions and action plans.
Coordinate with adjusters, medical case managers, attorneys, agents, account manager and other involved parties to promote efficient claim resolution.
Communicate carrier recommendations and decisions to clients in a clear, professional manner.
Monitor open claims for assigned accounts to ensure proper handling, timely deadlines and compliance with applicable regulations.
Review loss runs and document for accuracy and new claims; identify trends, anomalies, and opportunities for improvement.
Advocate on behalf of insured clients to ensure appropriate medical management and expeditious claim resolution.
Collaborate with clients to implement return-to-work programs and cost-containment strategies.
Schedule and conduct Zoom, Teams, or telephonic meetings with carriers and other involved parties to advocate on behalf of insured clients and injured workers regarding claim status, legal issues, medical treatment concerns, and/or inefficiencies impacting timely resolution or closure of claims.
Provide expert guidance to clients regarding workers’ compensation reporting, claim filing and documentation requirements.
Assist clients with claim submissions and ensure all necessary information is provided to carriers.
Participate in client claim review meetings, stewardship presentations, and renewal strategy sessions.
Educate clients on workers’ compensation best practices, workplace safety, injury prevention and effective claims management.
Collaborate with the company’s Safety Department to identify injury trends and develop strategies or training initiatives to reduce future workplace incidents.
Maintain accurate and detailed claim documentation within the brokerage’s claims tracking system.
Prepare customized reports summarizing claim performance, open claim counts and cost trends.
Analyze loss data to identify recurring issues and recommend targeted interventions.
Provide internal management with reports to assist in account servicing and retention efforts.
Maintain workflow spreadsheets to track individual and departmental productivity, and to provide data insights for management reporting and performance analysis.
Complete experience modification projections and analysis to provide clients with a prognosis of their potential premium for the upcoming policy period.
Monitor WCIRB notice alerts for experience modification initial worksheets or revisions, and communicate relevant updates or impacts to clients and internal agents and account managers.
Prepare and provide insured with quarterly reports including claim status reports, loss runs new claims, no claim notices and claim closure reports, to ensure clients remain informed of claim activity and closed claims.
Conduct themselves in a professional and respectful manner at all times.
Communicate appropriately and refrain from using offensive or disrespectful language.
Comply with all assigned tasks and directives from management.
Attend all mandatory meetings and participate actively in team and company activities.
Demonstrate a positive, professional attitude and contribute constructively to the team environment.
Practice strict confidentiality at all times regarding company information, client data, and sensitive claim information.

Requirements

What you’ll need

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.
State adjuster license or Self-Insurance Administrator (SIP) certificate (if required by jurisdiction).

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Stone Hendricks Group Website LinkedIn All Job Openings 11 - 50 employees Founded 2021 🎯 Recruiter 🤝 B2B Recruitment
B2B Stone Hendricks Group is a direct-hire and staffing firm that specializes in recruiting and placing qualified professionals across multiple sectors. They provide end-to-end hiring support—sourcing, screening, and pre-interviewing candidates—to help employers quickly fill roles in areas such as architecture, engineering, finance & accounting, insurance, healthcare, and video game/interactive. Stone Hendricks Group emphasizes a proven process, extensive candidate network, and recruiting technology to deliver culture-fit hires and reduce time-to-fill for businesses. Insurance Claims Representative – Workers' Compensation 🔥 52 minutes ago 🏢🏡 Los Angeles – Hybrid 💵 $70k - $90k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 📋 Claims Specialist Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Serve as the main liaison between insured clients and workers’ compensation insurance carriers.
Facilitate timely communication regarding claim status, settlement decisions and action plans.
Coordinate with adjusters, medical case managers, attorneys, agents, account manager and other involved parties to promote efficient claim resolution.
Communicate carrier recommendations and decisions to clients in a clear, professional manner.
Monitor open claims for assigned accounts to ensure proper handling, timely deadlines and compliance with applicable regulations.
Review loss runs and document for accuracy and new claims; identify trends, anomalies, and opportunities for improvement.
Advocate on behalf of insured clients to ensure appropriate medical management and expeditious claim resolution.
Collaborate with clients to implement return-to-work programs and cost-containment strategies.
Schedule and conduct Zoom, Teams, or telephonic meetings with carriers and other involved parties to advocate on behalf of insured clients and injured workers regarding claim status, legal issues, medical treatment concerns, and/or inefficiencies impacting timely resolution or closure of claims.
Provide expert guidance to clients regarding workers’ compensation reporting, claim filing and documentation requirements.
Assist clients with claim submissions and ensure all necessary information is provided to carriers.
Participate in client claim review meetings, stewardship presentations, and renewal strategy sessions.
Educate clients on workers’ compensation best practices, workplace safety, injury prevention and effective claims management.
Collaborate with the company’s Safety Department to identify injury trends and develop strategies or training initiatives to reduce future workplace incidents.
Maintain accurate and detailed claim documentation within the brokerage’s claims tracking system.
Prepare customized reports summarizing claim performance, open claim counts and cost trends.
Analyze loss data to identify recurring issues and recommend targeted interventions.
Provide internal management with reports to assist in account servicing and retention efforts.
Maintain workflow spreadsheets to track individual and departmental productivity, and to provide data insights for management reporting and performance analysis.
Complete experience modification projections and analysis to provide clients with a prognosis of their potential premium for the upcoming policy period.
Monitor WCIRB notice alerts for experience modification initial worksheets or revisions, and communicate relevant updates or impacts to clients and internal agents and account managers.
Prepare and provide insured with quarterly reports including claim status reports, loss runs new claims, no claim notices and claim closure reports, to ensure clients remain informed of claim activity and closed claims.
Conduct themselves in a professional and respectful manner at all times.
Communicate appropriately and refrain from using offensive or disrespectful language.
Comply with all assigned tasks and directives from management.
Attend all mandatory meetings and participate actively in team and company activities.
Demonstrate a positive, professional attitude and contribute constructively to the team environment.
Practice strict confidentiality at all times regarding company information, client data, and sensitive claim information. 🎯 Requirements
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.
State adjuster license or Self-Insurance Administrator (SIP) certificate (if required by jurisdiction). Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Senior Claims Specialist 🕒 August 22, 2025 Westfield Health 201 - 500 ⚕️ Healthcare Insurance 🧘 Wellness 🤝 B2B Website LinkedIn All Job Openings Senior Claims Specialist at Westfield Specialty oversees complex D&O/E&O/EPL claims; manages claims lifecycle with underwriting, outside counsel and settlements. 🏢🏡 Los Angeles – Hybrid ⏰ Full Time 🟠 Senior 📋 Claims Specialist View More Claims Specialist Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

workers' compensation claims handlingmedical case managementclaims processesanalytical skillsorganizational skillsproblem-solving skillsexperience modification projectionsdata analysisreport preparationclient advocacy

Soft Skills

verbal communicationwritten communicationclient-service mindsetrelationship buildingconfidentialityprofessionalismteam collaborationpositive attitudedispute resolutiontime management

Certifications

Associate's degreeBachelor's degreeRisk Management certificationState adjuster licenseSelf-Insurance Administrator (SIP) certificate