About the Workers’ Compensation Senior Claim Representative Role at Robert Half

Join Robert Half as a Workers’ Compensation Senior Claim Representative in the heart of Los Angeles, California. This pivotal on-site position is ideal for seasoned professionals with deep expertise in handling lost time workers' compensation claims, primarily from California jurisdictions. In this fast-paced, customer-driven environment, you will deliver high-quality claims service, ensuring compliance with state regulations while optimizing outcomes for insureds and claimants alike. Robert Half, a leader in financial and administrative staffing, offers a dynamic platform for career growth in the insurance claims sector.

Los Angeles presents a vibrant backdrop for this role, with its bustling business landscape and high demand for skilled claims experts. As a Senior Claim Representative, you will manage complex caseloads, conduct thorough investigations, and collaborate with multidisciplinary teams to resolve claims efficiently. This opportunity is perfect for those passionate about workers' compensation law, indemnity benefits, and return-to-work programs.

Key Responsibilities

Your day-to-day will involve comprehensive oversight of lost time claims:

• Oversee all phases of claims from initial reporting to final closure, ensuring seamless execution.
• Perform detailed three-part investigations, gathering statements from insureds, claimants, and medical providers to ascertain facts.
• Evaluate and determine compensability using investigative findings and applicable California statutes.
• Timely administration of medical and indemnity benefits in line with regulatory standards.
• Proactively communicate claim statuses, denials, and updates to all stakeholders, including attorneys and families.
• Accurately set, monitor, and adjust financial reserves within delegated authority limits.
• Work closely with external legal counsel to prepare for hearings, trials, and litigation strategies.
• Guide vendors, nurses, and case managers in developing effective return-to-work plans.
• Maintain strict adherence to state reporting mandates and internal protocols.
• Identify subrogation potential and drive recovery efforts to minimize losses.
• Collaborate with internal specialists like investigators and medical teams for superior claim resolution.
• Produce meticulous, professional documentation, reports, and file notes for audits and reviews.

Required Qualifications for Success

To excel as our Workers’ Compensation Senior Claim Representative, you need:

• At least 5 years of hands-on experience with California lost time workers' comp claims.
• Expertise in state-specific laws, including Labor Code sections on benefits and compensability.
• Strong analytical skills for investigations and decision-making under pressure.
• Superior verbal and written communication for stakeholder interactions.
• Proficiency in claims management systems and Microsoft Office suite.
• Proven track record in reserve management and litigation support.
• Ability to thrive in a high-volume, deadline-oriented setting.
• Relevant certifications such as Associate in Claims (AIC) or Workers' Compensation Claims Adjuster preferred.
• Bachelor’s degree in business, risk management, or a related field is advantageous.

We value candidates who demonstrate integrity, empathy, and a commitment to fair claims handling.

Why Join Robert Half in Los Angeles?

Robert Half stands out as a premier employer in the staffing and recruitment industry, offering unparalleled benefits and growth opportunities. Enjoy a competitive hourly salary around $38, translating to an estimated $79,000–$118,000 annually based on full-time status, plus performance bonuses. Our comprehensive benefits package includes medical, dental, vision coverage, 401(k) matching, generous PTO, and professional development support.

Work on-site in vibrant Los Angeles, CA, United States, with access to cutting-edge tools and a supportive team. Advance your career in workers' compensation claims management, leveraging Robert Half's national network for future opportunities. This role not only hones your expertise in SEO-relevant terms like 'workers comp senior claim examiner Los Angeles' but positions you at the forefront of insurance innovation.

With over 700 words of detailed insights, this is your chance to elevate your career. Apply now and become part of a team dedicated to excellence in claims service!