• Claims Examiner WC

    Adecco US, Inc. (Ontario, CA)


    Adecco is currently assisting one of its top clients in their search for an **Workers Compensation Claims Specialist** working in **ONTARIO, CA 91764 (Remote).**

     

    Pay rate: - $50 / hour

     

    Shift Time:- Mon-Fri 8 AM – 4:30 PM

    About the Role:

    We’re looking for a skilled Workers' Compensation Claims Specialist to handle complex claims and ensure fair and timely resolution. You’ll manage high-exposure cases, work with legal teams, and help reduce costs for our clients.

    Key Responsibilities:

    + Review and manage complex workers' compensation claims.

    + Investigate claims and develop action plans for resolution.

    + Negotiate settlements within your authority.

    + Set and adjust claim reserves appropriately.

    + Process payments and benefits accurately and on time.

    + Handle legal filings and manage litigation processes.

    + Coordinate with vendors for investigations and legal support.

    + Identify opportunities for claim recovery (e.g., subrogation, Medicare offsets).

    + Communicate with clients and claimants professionally.

    + Maintain accurate documentation and coding of claims.

    What You’ll Need:

    + Bachelor’s degree preferred.

    + 5+ years of experience in claims management.

    + Strong knowledge of insurance laws and workers' compensation practices.

    + Excellent communication and negotiation skills.

    + Proficiency in Microsoft Office.

    + Ability to work independently and in a team.

    + Strong organizational and analytical skills.

    Work Environment:

    + Office-based with occasional travel.

    + Requires computer use and clear communication skills.

    Must Have:

    Workers Compensation Claims Examiner (3+ years of California WC experience)

    **Pay Details:** $50.00 per hour

     

    Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

     

    Equal Opportunity Employer/Veterans/Disabled

     

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

    + The California Fair Chance Act

    + Los Angeles City Fair Chance Ordinance

    + Los Angeles County Fair Chance Ordinance for Employers

    + San Francisco Fair Chance Ordinance

    **Massachusetts Candidates Only:** It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.