Date Posted: 08/04/2026
Hiring Organization: Rose International
Position Number: 505179
Industry: Software
Job Title: California Workers' Compensation Claims Examiner
Job Location: Remote, USA
Work Model: Remote (California)
Shift: Monday to Friday, 7.5 hours per day
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 5
Min Hourly Rate($): 48.00
Max Hourly Rate($): 48.00
Must Have Skills/Attributes: Claims, Documentation, File Manager, SIP
Experience Desired: California workers' compensation claims experience is mandatory (3+ yrs); California WC Claims handling experience (3+ yrs); Claims management experience or equivalent combination of education and experience (5 yrs)
Required Minimum Education: High School Diploma or equivalent
Preferred Education: Bachelor’s Degree
**C2C is not available**
Job Description
***Only qualified Workers' Compensation candidates located in California may apply for this role***
Required Education:
• High School Diploma or equivalent.
Preferred Education:
• Bachelor's degree from an accredited college or university preferred.
Required Certification:
• SIP Certification.
Required Experience:
• 3+ years of California workers' compensation claims experience is mandatory.
• California WC Claims handling experience
• Strong knowledge of California workers' compensation laws and regulations.
• Five (5) years of claims management experience or equivalent combination of education and experience required.
• Familiarity with Medicare offsets, Social Security offsets, and subrogation recoveries.
• Strong investigation, documentation, and claim management skills.
Position Overview:
• To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Job Duties:
• Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
• Negotiates settlement of claims within designated authority.
• Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within the designated authority level.
• Prepares necessary state filings within statutory limits.
• Manages the litigation process; ensures timely and cost-effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques, including strategic vendor partnerships, to reduce the overall cost of claims for our clients.
• Manages claim recoveries, including but not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
• Reports claims to the excess carrier; responds to requests for directions in a professional and timely manner.
• Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
• Ensures claim files are properly documented and claims coding is correct.
• Refers cases as appropriate to supervisor and management.
Additional Job Duties:
• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required. - **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Thanks for the opportunity. If in the future I ever need a job, I would like to work for Rose International.
David, Consultant
Working for Rose International was the most pleasant assignment I have ever had. They were always on top of situations when necessary, and very helpful. I was very proud to be an employee of Rose International, and would recommend anyone to try to work with them.
Melvon, Consultant
My on-boarding with Rose was outstanding. The packets of information, the process, and great attention to detail each person gave me allowed me to get started quickly.I appreciated each person's friendly and helpful attitude.
Diana, Consultant
Each time I contacted Rose, I was completely satisfied with the great attention and customer service I received. Each person was extremely knowledgeable and patient with my concerns or questions.
Diana, Consultant
Rose International was not only attentive and responsive, but they were very professional and helpful whenever I called or needed any assistance.
Diane, Consultant
EMPLOYEE COMMENTS