Senior Workers' Compensation Adjuster

The Mutual Group

Senior Workers’ Compensation Adjuster managing moderate to complex claims including investigation, negotiation, and litigation remotely. Seeking candidate with 5+ years California claims experience.

Posted 7/2/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $79,500 - $110,000 per yearWebsite

About the role

Key responsibilities & impact

Manage moderate to complex workers’ compensation claims from initial investigation through resolution
Conduct interviews with insured parties, claimants, witnesses, and other relevant individuals to assess claim eligibility
Obtain statements; analyze coverage; determine compensability and applicable benefits; set appropriate reserves
Negotiate settlements; and litigation management
Handle a broad range of claims with settlement authority up to $175,000
Provide mentorship or support to junior team members in their claims handling
Maintain timely and accurate claim file documentation in accordance with company protocols
Coordinate medical management, including UR/IMR and return-to-work strategies
Participate in claim reviews and case discussions

Requirements

What you’ll need

5+ years California workers’ compensation claims experience
Current Experienced Adjuster Designation
Bachelor’s degree preferred
Experience adjusting complex indemnity and litigated claims
Advanced knowledge of California workers’ compensation regulations and laws
Ability to work independently and efficiently in a remote environment
Excellent analytical and problem-solving abilities
Effective verbal and written communication skills
Ability to negotiate skillfully in challenging situations
Strong organizational and time management skills with ability to prioritize competing demands
Proficiency with Microsoft Word, Excel, and Outlook
Ability to perform advanced mathematical calculations

Benefits

Comp & perks

Competitive base salary plus incentive plans for eligible team members
401(K) retirement plan that includes a company match of up to 6% of your eligible salary
Free basic life and AD&D, long-term disability and short-term disability insurance
Medical, dental and vision plans to meet your unique healthcare needs
Wellness incentives
Generous time off program that includes personal, holiday and volunteer paid time off
Flexible work schedules and hybrid/remote options for eligible positions
Educational assistance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Claims ManagementIndemnity Claims AdjustmentLitigated Claims AdjustmentMathematical CalculationsClaim File Documentation

Soft Skills

Effective Communication SkillsOrganizational SkillsTime Management SkillsMentorship

Certifications

Experienced Adjuster Designation